Individual
ALICIA-ANN SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC,NCC
Contact information
Practice address
8400 N UNIVERSITY DR STE 111, TAMARAC, FL 33321-1700
(954) 361-5032
Mailing address
8400 N UNIVERSITY DR STE 111, TAMARAC, FL 33321-1700
(954) 361-5032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16667
FL
Other
Enumeration date
02/20/2019
Last updated
08/12/2020
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