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Individual

CARRIE CORINE GLEBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC, LPC

Contact information

Practice address
15191 NE 51ST PL, WILLISTON, FL 32696-6433
(352) 374-5600
(352) 375-0298
Mailing address
15191 NE 51ST PL, WILLISTON, FL 32696-6433
(352) 374-5600
(352) 375-0298

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 7694
FL
101YM0800X
Mental Health Counselor
PC017626
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
765909100
FL
Enumeration date
05/11/2007
Last updated
09/19/2024
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