Individual
MR. JAMES RAYMOND PAVLOVSKY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAP, CADAC II
Contact information
Practice address
7 N COCOA BLVD, COCOA, FL 32922-7749
(321) 631-4578
(321) 631-1640
Mailing address
82 E TOWNE PL, TITUSVILLE, FL 32796-3023
(321) 631-4578
(321) 631-1640
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/27/2013
Last updated
01/12/2016
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