Individual
MR. BERNABE GONZALEZ-CRESPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, MA
Contact information
Practice address
107 MEDICAL CENTER AVE, SEBRING, FL 33870-5423
(863) 382-9280
Mailing address
2614 N LACONA RD, AVON PARK, FL 33825-8555
(863) 703-0045
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12085
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013683600
—
FL
Enumeration date
01/01/2011
Last updated
12/14/2018
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