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Individual

TERI F ISABELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCMH

Contact information

Practice address
4777 STORKWOOD RD APT A, BOYNTON BEACH, FL 33436-4182
(302) 423-5596
Mailing address
4777 STORKWOOD RD APT A, BOYNTON BEACH, FL 33436-4182
(302) 423-5596

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC-0000394
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PC-0000394
LICENSE
DE
Enumeration date
04/24/2012
Last updated
06/11/2022
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