Individual
MRS. SUSANA ELISA SIFRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
2040 NE 163RD ST, # 305, NORTH MIAMI BEACH, FL 33162
(786) 553-6038
Mailing address
1500 S OCEAN DRIVE, # 5-G, HOLLYWOOD, FL 33019
(786) 553-6038
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH9186
FL
101YM0800X
Mental Health Counselor
9186
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9355082
AETNA
FL
Enumeration date
08/15/2008
Last updated
07/26/2013
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