Organization
COUNSELING & CONSULTATION, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ROBERT DOOLEY M.A., CAP, CMHP (CEO)
(386) 290-2085
Entity
Organization
Contact information
Practice address
3959 S. NOVA RD., SUITE 14, PORT ORANGE, FL 32127
(386) 290-2085
Mailing address
3959 S. NOVA RD., SUITE 14, PORT ORANGE, FL 32127
(386) 290-2085
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0764AD394901
FL
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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