Individual
CECILIO DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11428 N 53RD ST, TEMPLE TERRACE, FL 33617-2216
(813) 374-9416
Mailing address
11428 N 53RD ST, TEMPLE TERRACE, FL 33617-2216
(813) 374-9416
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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