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Individual

BRIAN SCOTT THIGPEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
260 LOOKOUT PL, SUITE 202, MAITLAND, FL 32751-4485
(407) 647-1781
(407) 647-4628
Mailing address
260 LOOKOUT PL, SUITE 202, MAITLAND, FL 32751-4485
(407) 647-1781
(407) 647-4628

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH 10864
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12390212
CAQH
FL
Enumeration date
09/12/2012
Last updated
09/12/2012
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