Individual provider · Type 1 NPI

November Thea Church

Mental Health Counselor · Brandon, FL

NPI number 1972846814 Active

Practice location

510 Vonderburg Dr, Suite 301
Brandon, FL 33511-5954

Fax (813) 689-2684

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH11735 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1972846814

November Thea Church's National Provider Identifier is 1972846814, issued on Mar 28, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brandon, FL. The record was last updated on Mar 28, 2013.