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Dominique De Laet
Mental Health Counselor in Clearwater, Florida
NPI 1649427600

Dominique De Laet is a Mental Health Counselor based in Clearwater, FL and is specialized in Mental Health. Dominique De Laet practices in Clearwater, FL. The NPI Number for Dominique De Laet is 1649427600 and holds a License No. MH 9534 (Florida).

The current practice location address for Dominique De Laet is 1437 S Belcher Rd, Clearwater, FL and can be reached out via phone at 727-524-4464 and via fax at 727-507-4825.

Location: 1437 S Belcher Rd, Clearwater, FL, 33764-2829
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649427600
Provider Name
Dominique De Laet
Credential
Provider Entity Type
Individual
Gender
Female
Address
1437 S Belcher Rd, Clearwater, FL, 33764-2829
Phone Number
727-524-4464
Fax Number
727-507-4825
Provider Enumeration Date
08/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH 9534 01 FL STATE OF FLORIDA LICENSE
institution
Provider Business Practice Location Address Details
Address
1437 S Belcher Rd
City
Clearwater
State
Florida
Zip
33764-2829
Phone Number
727-524-4464
Fax Number
727-507-4825
person
Provider Business Mailing Address Details
Address
1437 S Belcher Rd
City
Clearwater
State
Florida
Zip
33764-2829
Phone Number
727-524-4464
Fax Number
727-507-4825
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH 9534 (Florida)
Definition
Definition to come...
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