Individual
ALLISON ROSE FENECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 TEAK DR, MELBOURNE, FL 32935-6306
(321) 549-7380
Mailing address
515 TEAK DR, MELBOURNE, FL 32935-6306
(904) 716-4268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH16892
FL
Other
Enumeration date
11/09/2017
Last updated
01/04/2023
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