Organization
WILLOWS PATH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LYNN DOBBERTIN LCSW (OWNER/THERAPIST)
(585) 402-9354
Entity
Organization
Contact information
Practice address
905 S MISSOURI AVE, LAKELAND, FL 33803-1033
(813) 501-7247
Mailing address
6421 N FLORIDA AVE # D1098, TAMPA, FL 33604-6007
(813) 501-7247
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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