Individual
MRS. ELENDEA ROSE DEGAETANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMFTI, RMHCI
Contact information
Practice address
121 W PENNSYLVANIA AVE, DELAND, FL 32720-3429
(386) 290-6525
Mailing address
724 N BOSTON AVE, DELAND, FL 32724-2974
(386) 290-6525
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH26998
FL
106H00000X
Marriage & Family Therapist
Primary
IMT4296
FL
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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