Individual
ALYSSA STAVROULA KUTSUKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
937 DIXON BLVD, COCOA, FL 32922-6806
(321) 446-2113
Mailing address
527 JEWELL ST SE, PALM BAY, FL 32909-8217
(772) 812-4251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH26392
FL
Other
Enumeration date
01/12/2020
Last updated
08/27/2025
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