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Contact Information

CORE COUNSELING SERVICE INC
4319 SO RIDGEWOOD AVE
PORT ORANGE, FL32127
 Phone: 386-756-2405
 Fax: 386-756-7518
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for CORE COUNSELING SERVICE INC · (Female)

NPI Number 1285791764
Status Active
Credentials
Entity Individual
Enumeration date 01/03/2007
Last updated 02/19/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 720
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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