Provider Demographics
NPI:1639572738
Name:CRONIN COUNSELING SERVICE
Entity Type:Organization
Organization Name:CRONIN COUNSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:CRONIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS LMHC
Authorized Official - Phone:727-458-4781
Mailing Address - Street 1:10225 ULMERTON RD
Mailing Address - Street 2:SUITE 9C
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-3538
Mailing Address - Country:US
Mailing Address - Phone:727-458-4781
Mailing Address - Fax:
Practice Address - Street 1:10225 ULMERTON RD
Practice Address - Street 2:SUITE 9C
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-3538
Practice Address - Country:US
Practice Address - Phone:727-458-4781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8517251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health