Individual
CECILE ANTOINETTE OLLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1324 37TH AVE E, BRADENTON, FL 34208-4555
(941) 792-2222
Mailing address
1324 37TH AVE E, BRADENTON, FL 34208-4555
(941) 792-2222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH15112
FL
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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