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Mr. Martin Avellaneda JR.
Mental Health Counselor in Lake Wales, Florida
NPI 1912651001

Martin Avellaneda JR. is a Mental Health Counselor based in Frostproof, FL and is specialized in Mental Health. Martin Avellaneda JR. practices in Lake Wales, FL. The NPI Number for Martin Avellaneda JR. is 1912651001 and holds a License No. (Florida).

The current practice location address for Martin Avellaneda JR. is 244 E Park Ave, Lake Wales, FL and can be reached out via phone at 863-605-4616.

Location: 244 E Park Ave, Lake Wales, FL, 33843-9531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912651001
Provider Name
Martin Avellaneda JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
244 E Park Ave, Lake Wales, FL, 33843-9531
Phone Number
863-605-4616
Fax Number
Provider Enumeration Date
02/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
244 E Park Ave
City
Lake Wales
State
Florida
Zip
33853-3706
Phone Number
863-605-4616
Fax Number
person
Provider Business Mailing Address Details
Address
244 E Park Ave
City
Lake Wales
State
Florida
Zip
33853-3706
Phone Number
863-605-4616
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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