SHANE CHURCH

ORLANDO, FL
NPI1194265405
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH24135)
Enumeration Date2017-03-06
Last Update Date2025-08-06
Business Address
SHANE CHURCH LMHC
4776 NEW BROAD ST STE 201
ORLANDO, FL 32814-6423
Phone number: 833-769-3524
Mailing Address
SHANE CHURCH LMHC
4776 NEW BROAD ST STE 201
ORLANDO, FL 32814-6423
Phone number: 833-769-3524
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