Organization
BEACON COUNSELING AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE LOPEZ MS (MENTAL HEALTH COUNSELOR)
(407) 927-9619
Entity
Organization
Contact information
Practice address
409 E CHERRY ST, KISSIMMEE, FL 34744-4227
(407) 927-9619
Mailing address
PO BOX 422111, KISSIMMEE, FL 34742-2111
(407) 927-9619
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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