Organization
FAMILY CARE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON GERALD GREENHALGH PH.D (PRESIDENT)
(386) 427-2241
Entity
Organization
Contact information
Practice address
211 LIVE OAK ST, NEW SMYRNA BEACH, FL 32168-7115
(386) 427-2241
(386) 427-2242
Mailing address
211 LIVE OAK ST, NEW SMYRNA BEACH, FL 32168-7115
(386) 427-2241
(386) 427-2242
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT0951
FL
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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