person
Mr. Clarence Riley JR.
Mental Health Counselor in Lake Mary, Florida
NPI 1235539529

Clarence Riley JR. is a Mental Health Counselor based in Lake Mary, FL and is specialized in Mental Health. Clarence Riley JR. practices in Lake Mary, FL. The NPI Number for Clarence Riley JR. is 1235539529 and holds a License No. 12600 (Florida).

The current practice location address for Clarence Riley JR. is 892 W Charing Cross Cir, Lake Mary, FL and can be reached out via phone at 340-513-9178.

Location: 892 W Charing Cross Cir, Lake Mary, FL, 32746-6426
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Provider Profile Details
NPI Number
1235539529
Provider Name
Clarence Riley JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
892 W Charing Cross Cir, Lake Mary, FL, 32746-6426
Phone Number
340-513-9178
Fax Number
Provider Enumeration Date
08/25/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12260 01 FL FLORIDA DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
892 W Charing Cross Cir
City
State
Zip
32746-6426
Phone Number
340-513-9178
Fax Number
person
Provider Business Mailing Address Details
Address
892 W Charing Cross Cir
City
State
Zip
32746-6426
Phone Number
340-513-9178
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
12600 (Florida)
Definition
Definition to come...
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