East Las Olas Psychological Group

NPI 1073720835 - Counselor - 101YM0800X

NPI Details
NPI 1073720835
Enumeration Date 05/17/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICHARD RICHARD
Position LICENSED MENTAL HEALTH COUNSELOR
Phone (954) 768-0434
Fax (954) 768-0285
Practice Location
108 SE 8TH AVE
SUITE 203
FORT LAUDERDALE FL, 33301-2023, US
Phone (954) 768-0434
Fax (954) 768-0285
Business Location
108 SE 8TH AVE
SUITE 203
FORT LAUDERDALE FL, 33301-2023, US
Phone (954) 768-0434
Fax (954) 768-0285
Toxanomy
Taxonomy Code 101YM0800X
License State Florida
License Number MH 1856
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According to our database, East Las Olas Psychological Group NPI is 1073720835, taxonomy code is 101YM0800X and license number is MH 1856, license state is located at Florida. East Las Olas Psychological Group physically located at 108 Se 8th Ave, Fort Lauderdale FL, 33301-2023. NPI Number 1033115704 has the healthcare provider type.

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1073720835 NPI number is provided on an as is basis without warranty of any kind. 1073720835 is maintained by the National Plan & Provider Enumeration System. The contents of East Las Olas Psychological Group are for informational purposes only.