Individual
MS. CHRISTINE DASSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2338 BLACK LAKE BLVD, WINTER GARDEN, FL 34787-4754
(904) 742-8796
Mailing address
2338 BLACK LAKE BLVD, WINTER GARDEN, FL 34787-4754
(904) 742-8796
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 8736
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH8736
COMMERICAL INS
FL
Enumeration date
10/19/2007
Last updated
04/24/2023
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