Individual
ALESSIA M VIVOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2150 N PARK AVE, WINTER PARK, FL 32789-2310
(740) 310-1727
Mailing address
2150 N PARK AVE, WINTER PARK, FL 32789-2310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH16653
FL
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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