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DR. CARNELL A. COLEBROOK-CLAUDE NCC, LPC,LCPC, LSOE
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1518405877
Individual Registrant:DR. CARNELL A. COLEBROOK-CLAUDE NCC, LPC,LCPC, LSOE
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
4737 N OCEAN DR # 162 LAUDERDALE BY THE SEA, FL 33308-2920 US
Tel: 954-661-9857 Fax: --
Tel: 954-661-9857 Fax: --
Contact information for business:
4737 NORTH OCEAN DRIVE #162 LAUDERDALE BY THE SEA, FL 33308 US
Tel: 954-686-2020 Fax: --
Tel: 954-686-2020 Fax: --
Registration Information:
NPI: 1518405877
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | FL | PMH 1408 |
| N | 101YM0800X | Behavioral Health & Social Service Providers Counselor | KY | 242477 |
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor | TX | 76280 |
| N | 101YM0800X | Behavioral Health & Social Service Providers Counselor | MT | BBH-LCPC-LIC-31419 |
| N | 101YP2500X | Behavioral Health & Social Service Providers Counselor | IL | 178.014086 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
