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NPI 1255608550

NPI 1255608550 : ADAMS PROFESSIONAL COUNSELING SERVICES : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1255608550
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADAMS PROFESSIONAL COUNSELING SERVICES 
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Dates
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    Enumeration Date     |    11/30/2011
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    Last Update Date     |    11/30/2011
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Provider Practice Location Address
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    Address Line         |    7031 GRAND NATIONAL DR SUITE 102
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32819-8984
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    Country              |    US
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    Telephone            |    407-252-0994
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    Fax                  |    407-251-8943
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Provider Business Mailing Address
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    Address Line         |    7031 GRAND NATIONAL DR SUITE 102
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32819-8984
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    Country              |    US
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    Telephone            |    407-252-0994
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    Fax                  |    407-251-8943
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MRS. JULIA VERONICA OWENS 
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    Credential           |    L.M.H.C
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    Telephone            |    407-252-0994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    MH7771
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    License Number State |    FL
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