Individual
MR. CARMEN ROBERT GENOVESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, ROOM 41-229, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
20440 COLONIAL HILL DR, APT 204, TAMPA, FL 33647-3539
(585) 472-9043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
09/21/2012
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