Individual
AERON DEGROAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2290 N RONALD REAGAN BLVD STE 116, LONGWOOD, FL 32750-3534
(407) 215-0095
Mailing address
2290 N RONALD REAGAN BLVD STE 116, LONGWOOD, FL 32750-3534
(407) 215-0095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH20571
FL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11623300
—
FL
Enumeration date
01/09/2020
Last updated
02/23/2023
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