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Mr. Marco Chase
Mental Health Counselor in Davenport, Florida
NPI 1619104312

Marco Chase is a Mental Health Counselor based in Davenport, FL and is specialized in Mental Health. Marco Chase practices in Davenport, FL. The NPI Number for Marco Chase is 1619104312 and holds a License No. MA95184 (Florida).

The current practice location address for Marco Chase is 401 Ridgemont Loop, Davenport, FL and can be reached out via phone at 443-992-3093.

Location: 401 Ridgemont Loop, Davenport, FL, 33897-7531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619104312
Provider Name
Marco Chase
Credential
Provider Entity Type
Individual
Gender
Male
Address
401 Ridgemont Loop, Davenport, FL, 33897-7531
Phone Number
443-992-3093
Fax Number
Provider Enumeration Date
06/19/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
401 Ridgemont Loop
City
Davenport
State
Florida
Zip
33897-7531
Phone Number
443-992-3093
Fax Number
person
Provider Business Mailing Address Details
Address
401 Ridgemont Loop
City
Davenport
State
Florida
Zip
33897-7531
Phone Number
443-992-3093
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
8403 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MA95184 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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