is a Addiction (substance Use Disorder) in St Petersburg, Florida. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for is 1194982967. The last update date is .
's current location address is 8254 40th Ave N, St Petersburg, Florida. You can contact this provider via phone number 7276444609. The mailing address for is 8254 40th Ave N, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 8254 40th Ave N, St Petersburg, Florida |
| Phone Number | 7276444609 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1194982967 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 8254 40th Ave N |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337093933 |
| Phone Number | 7276444609 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 3054 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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