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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1245042837 |
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| LBN Legal business name | CONNECT & GROW COUNSELING LLC | ||||||||||||
| Authorized official | EVA SAN PEDRO-KOONTZ - (FOUNDER & PSYCHOTHERAPIST) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 01/22/2025 | ||||||||||||
| Last updated | 01/22/2025 - More than a year ago | ||||||||||||
| Identifiers |
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CONNECT & GROW COUNSELING LLC