person
November Thea Church
Mental Health Counselor in Brandon, Florida
NPI 1972846814

November Thea Church is a Mental Health Counselor based in Brandon, FL and is specialized in Mental Health. November Thea Church practices in Brandon, FL. The NPI Number for November Thea Church is 1972846814 and holds a License No. MH11735 (Florida).

The current practice location address for November Thea Church is 510 Vonderburg Dr, Brandon, FL and can be reached out via phone at 813-881-1000 and via fax at 813-689-2684.

Location: 510 Vonderburg Dr, Brandon, FL, 33511-5954
person
Provider Profile Details
NPI Number
1972846814
Provider Name
November Thea Church
Credential
Provider Entity Type
Individual
Gender
Female
Address
510 Vonderburg Dr, Brandon, FL, 33511-5954
Phone Number
813-881-1000
Fax Number
813-689-2684
Provider Enumeration Date
03/28/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
510 Vonderburg Dr
City
State
Zip
33511-5954
Phone Number
813-881-1000
Fax Number
813-689-2684
person
Provider Business Mailing Address Details
Address
510 Vonderburg Dr
City
State
Zip
33511-5954
Phone Number
813-881-1000
Fax Number
813-689-2684
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH11735 (Florida)
Definition
Definition to come...
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