person
Diane Grose, MALMHC
Mental Health Counselor in Longwood, Florida
NPI 1811000672

Diane Grose is a Mental Health Counselor based in Longwood, FL and is specialized in Mental Health. Diane Grose practices in Longwood, FL and has the professional credentials of MALMHC. The NPI Number for Diane Grose is 1811000672 and holds a License No. MH5484 (Florida).

The current practice location address for Diane Grose is 117 Cambridge Drive, Longwood, FL and can be reached out via phone at 407-697-0220 and via fax at 407-772-0228.

Location: 117 Cambridge Drive, Longwood, FL, 32779-5707
person
Provider Profile Details
NPI Number
1811000672
Provider Name
Diane Grose
Credential
MALMHC
Provider Entity Type
Individual
Gender
Female
Address
117 Cambridge Drive, Longwood, FL, 32779-5707
Phone Number
407-697-0220
Fax Number
407-772-0228
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
117 Cambridge Drive
City
State
Zip
32779-5707
Phone Number
407-697-0220
Fax Number
407-772-0228
person
Provider Business Mailing Address Details
Address
117 Cambridge Drive
City
State
Zip
32779-5707
Phone Number
407-697-0220
Fax Number
407-772-0228
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH5484 (Florida)
Definition
Definition to come...
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