Individual
DR. ALICIA RENEE THEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMFT
Contact information
Practice address
12505 ORANGE DR STE 901, DAVIE, FL 33330-4300
(954) 651-2857
Mailing address
3465 NW 23RD ST, LAUDERDALE LAKES, FL 33311-2602
(954) 651-2857
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMH21400
FL
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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