Individual
ALEX VIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1964 HOWELL BRANCH RD STE 106, WINTER PARK, FL 32792-1042
(407) 906-7792
Mailing address
1584 LAWNDALE CIR, WINTER PARK, FL 32792-6188
(605) 321-4303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
FL
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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