Organization · Type 2 NPI
East Las Olas Psychological Group
Mental Health Counselor · Fort Lauderdale, FL
NPI number
1306068622
Active
Practice location
108 SE 8th Avenue, Suite 203
Fort Lauderdale, FL 33140
Fax (954) 768-0285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MENTAL HEALTH 1856 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1306068622
East Las Olas Psychological Group's National Provider Identifier is 1306068622, issued on May 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Aug 22, 2020.