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ERIC KID QUICK LPC, LAC, LMHC
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1194142943
Individual Registrant: ERIC KID QUICK LPC, LAC, LMHC
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1497 FOREST HILL BLVD STE E LAKE CLARKE SHORES, FL 33406-6052 US
Tel: 561-433-5687 Fax: 561-433-5705
Tel: 561-433-5687 Fax: 561-433-5705
Contact information for business:
1497 FOREST HILL BLVD STE E LAKE CLARKE SHORES, FL 33406-6052 US
Tel: 561-433-5687 Fax: 561-433-5705
Tel: 561-433-5687 Fax: 561-433-5705
Registration Information:
NPI: 1194142943
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | CO | 175 |
| N | 101YM0800X | Behavioral Health & Social Service Providers Counselor | CO | 6484 |
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor | FL | MH14257 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
