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Organization

DAVID SHOOTS COUNSELING SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID SHOOTS LCSW (OWNER)
(386) 747-2331
Entity
Organization

Contact information

Practice address
215 S PALMETTO AVE, DAYTONA BEACH, FL 32114-4308
(386) 747-2331
(386) 947-7441
Mailing address
215 S PALMETTO AVE, DAYTONA BEACH, FL 32114-4308
(386) 747-2331
(386) 947-7441

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
SW6973
FL

Other

Enumeration date
11/15/2017
Last updated
11/15/2017
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