Individual
ALISA GRACHEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5400 S UNIVERSITY DR STE 308, DAVIE, FL 33328-5310
(954) 378-5381
Mailing address
9861 NW 3RD CT BLDG 4, PLANTATION, FL 33324-7078
(786) 343-7984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH23688
FL
Other
Enumeration date
02/22/2024
Last updated
05/03/2024
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