Individual
AISHA OUTLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
10810 BOYETTE RD # 158, RIVERVIEW, FL 33569-8000
(813) 394-6804
Mailing address
10810 BOYETTE RD # 158, RIVERVIEW, FL 33569-8000
(813) 394-6804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH16281
FL
Other
Enumeration date
11/02/2016
Last updated
10/12/2022
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