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Organization
SUSANNA ALIS, LMHC
Active
Organization
SUSANNA ALIS, LMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSANNA ALIS (CLINICAL THERAPIST)
(239) 258-5520
Entity
Organization
Contact information
Practice address
867 91ST AVE N, NAPLES, FL 34108-2426
(239) 258-5520
Mailing address
867 91ST AVE N, NAPLES, FL 34108-2426
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9268
FL
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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