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Organization

3 CORD COUNSELING

Active
Parent organization
3 CORD COUNSELING
Organization subpart
Yes

Provider details

NPI number
Legal business name
3 CORD COUNSELING
Authorized official
MRS. SHAKEENA DENISE BRANTLEY LCSW (SOCIAL WORKER/COUNSELOR)
(407) 603-9710
Entity
Organization

Contact information

Practice address
725 NORTHLAKE BLVD APT 77, ALTAMONTE SPRINGS, FL 32701-6732
(954) 494-6730
Mailing address
725 NORTHLAKE BLVD APT 77, ALTAMONTE SPRINGS, FL 32701-6732
(954) 494-6730

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/05/2019
Last updated
03/05/2019
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