Individual
MR. EDWARD JAMES CEJKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV, MCAP, CMHP,CPS
Contact information
Practice address
3529 NORTH PINE ISLAND ROAD, SUNRISE, FL 33351
(561) 602-6149
Mailing address
PO BOX 244262, BOYNTON BEACH, FL 33424-4262
(561) 602-6149
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MCAP-ADC-010416-2015
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120483
IC&RC ALCOHOL & DRUG COUNSELOR (INTERNATIONAL)
FL
01
—
360A
PREVENTION SPECIALIST
FL
01
—
50021
MENTAL HEALTH PROFESSIONAL
FL
01
—
ADC-010416-2015
CERTIFIED MASTERS LEVEL ADDICTION PROFESSIONAL
FL
Enumeration date
01/22/2018
Last updated
01/22/2018
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