Individual
DR. KELSEA MARIE VISALLI-BETTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
806 NW 16TH AVE UNIT 172, GAINESVILLE, FL 32601-4012
(260) 249-7505
Mailing address
806 NW 16TH AVE UNIT 172, GAINESVILLE, FL 32601-4012
(260) 249-7505
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
11490
FL
103TC1900X
Counseling Psychologist
3953
CT
Other
Enumeration date
09/17/2017
Last updated
04/16/2023
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