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MISS GLORIA SOFIA BENCOSME LMHC, NCC, RPT,BCBA

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

Registrant NPI Number: 1881954824

Individual Registrant:
MISS GLORIA SOFIA BENCOSME LMHC, NCC, RPT,BCBA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
12300 S SHORE BLVD STE 218  WELLINGTON, FL 33414-6509 US
Tel: 561-420-3810  Fax: 561-444-2458

Contact information for business:
123 WAKULLA SPRINGS WAY  ROYAL PALM BEACH, FL 33411-4219 US
Tel: 561-420-3810  Fax: --

Registration Information:
NPI: 1881954824
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
FLMH 12298

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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