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ERIC KID QUICK LPC, LAC, LMHC

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1194142943

Individual Registrant:
 ERIC KID QUICK LPC, LAC, LMHC
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

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

Registration Information:
NPI: 1194142943
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CO175
N101YM0800XBehavioral Health & Social Service Providers
Counselor
CO6484
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
FLMH14257

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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