Individual
CATHIE RISING-CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 TAYLOR AVE, ORLANDO, FL 32806-4474
(407) 855-4028
Mailing address
PO BOX 560278, ORLANDO, FL 32856-0278
(407) 855-4028
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH000200
FL
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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