Organization
CAROL A VISCONTI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL A VISCONTI (OWNER/OPERATOR)
(856) 982-8601
Entity
Organization
Contact information
Practice address
2285 MARSH HAWK LN, APT 3-302, FLEMING ISLAND, FL 32003-6363
(856) 982-8601
Mailing address
2285 MARSH HAWK LN, APT 3-302, FLEMING ISLAND, FL 32003-6363
(856) 982-8601
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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