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Individual

ARASHI ELISA MESA MELO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4024 CENTRAL AVE, SAINT PETERSBURG, FL 33711-1239
(727) 327-7656
Mailing address
PO BOX 10970, SAINT PETERSBURG, FL 33733-0970

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
IMH20739
FL DOH
FL
Enumeration date
05/10/2023
Last updated
05/10/2023
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