Individual
CARLY HITCHCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2139 W STATE ROAD 434 STE 102, LONGWOOD, FL 32779-5019
(407) 801-3508
Mailing address
2139 W STATE ROAD 434 STE 102, LONGWOOD, FL 32779-5019
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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