Individual
ELISSA PEARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
851 BROKEN SOUND PKWY NW STE 208, BOCA RATON, FL 33487-3635
(561) 632-0085
Mailing address
851 BROKEN SOUND PKWY NW STE 208, BOCA RATON, FL 33487-3635
(561) 632-0085
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOWN
UNKNOWN
—
Enumeration date
03/02/2019
Last updated
03/02/2019
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