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General NPI Number Information
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NPI Number | 1811085079
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE COUNSELING CARE
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6220 S ORANGE BLOSSOM TRAIL SUITE 142
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City | ORLANDO
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State | FL
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Zip | 32809-4677
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Country | US
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Telephone | 407-888-8113
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Fax | 407-851-4357
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Provider Business Mailing Address
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Address Line | 6220 S ORANGE BLOSSOM TRAIL SUITE 142
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City | ORLANDO
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State | FL
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Zip | 32809-4677
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Country | US
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Telephone | 407-888-8113
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Fax | 407-851-4357
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Authorized Official
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Title or Position | OWNER
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Name | MR. CARLOS A RUEDA
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Credential |
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Telephone | 407-888-8113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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