Individual
CASSARA TULLOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4144 N ARMENIA AVE STE 350, TAMPA, FL 33607-6434
(855) 743-4273
Mailing address
4144 N ARMENIA AVE STE 350, TAMPA, FL 33607-6434
(855) 743-4273
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
IMH14967
FL
101YM0800X
Mental Health Counselor
Primary
IMH14967
FL
101YP2500X
Professional Counselor
IMH14967
FL
106H00000X
Marriage & Family Therapist
IMH14967
FL
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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