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Individual
DR. JANICE LEE TICE
Active
Individual
DR. JANICE LEE TICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MH COUNSELO
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
FLMHC#0000 441
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BS/BC Z1294
BLUE BLUE SHIELD OF FLRIDA, INC.
FL
Enumeration date
02/15/2013
Last updated
02/15/2013
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