Individual
MISS COURTNEY ROSE JUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
848 EXECUTIVE DR, OVIEDO, FL 32765-7699
(856) 745-6430
Mailing address
848 EXECUTIVE DR, OVIEDO, FL 32765-7699
(856) 745-6430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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