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DR. CARNELL A. COLEBROOK-CLAUDE NCC, LPC,LCPC, LSOE

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1518405877

Individual Registrant:
DR. CARNELL A. COLEBROOK-CLAUDE NCC, LPC,LCPC, LSOE
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: --

Contact information for business:
4737 NORTH OCEAN DRIVE #162  LAUDERDALE BY THE SEA, FL 33308 US
Tel: 954-686-2020  Fax: --

Registration Information:
NPI: 1518405877
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
FLPMH 1408
N101YM0800XBehavioral Health & Social Service Providers
Counselor
KY242477
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
TX76280
N101YM0800XBehavioral Health & Social Service Providers
Counselor
MTBBH-LCPC-LIC-31419
N101YP2500XBehavioral Health & Social Service Providers
Counselor
IL178.014086

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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