Individual
BRIANNA KUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 S SEMORAN BLVD # 2-1029, WINTER PARK, FL 32792-5526
(407) 960-3330
Mailing address
1035 S SEMORAN BLVD # 2-1029, WINTER PARK, FL 32792-5526
(407) 960-3330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH16730
FL
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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