Organization
CITRUS COUNTY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MARIE BASCOS MSW, LCSW, MCAP (OWNER)
(352) 623-3163
Entity
Organization
Contact information
Practice address
4882 W PHOENIX DR, BEVERLY HILLS, FL 34465-2860
(352) 423-3163
Mailing address
4882 W PHOENIX DR, BEVERLY HILLS, FL 34465-2860
(352) 423-3163
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW12783
FL
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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