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Individual

BETTY CARROL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
321 W OAK ST, KISSIMMEE, FL 34741-4421
(833) 769-3524
(321) 697-5661
Mailing address
1200 OAKLEY SEAVER DR STE 213, CLERMONT, FL 34711-1960
(904) 802-8883

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH22557
FL
106H00000X
Marriage & Family Therapist
IMT3066
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
IMT3066
FL
Enumeration date
06/12/2019
Last updated
04/08/2025
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