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Organization

RADIANCE COUNSELING & CONSULTING P.L.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MADELINE ALTABE PH.D. (OWNER/LICENSED PSYCHOLOGIST)
(404) 941-6402
Entity
Organization

Contact information

Practice address
7747 MITCHELL BLVD STE B, TRINITY, FL 34655-4725
(404) 941-6402
(844) 642-6304
Mailing address
7747 MITCHELL BLVD STE B, TRINITY, FL 34655-4725

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4848
FL

Other

Enumeration date
03/21/2013
Last updated
12/17/2019
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