Individual
AMAL HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6710 WINKLER RD STE 7, FORT MYERS, FL 33919-7274
(239) 565-3040
Mailing address
14201 REFLECTION LAKES DR, FORT MYERS, FL 33907-1811
(239) 565-3040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH17584
FL
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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