Individual
ANASTASIA ROOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
816 PENNSYLVANIA AVE, SAINT CLOUD, FL 34769-3371
(321) 805-4426
Mailing address
816 PENNSYLVANIA AVE, SAINT CLOUD, FL 34769-3371
(321) 805-4426
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R100016888050
—
FL
Enumeration date
08/03/2021
Last updated
08/03/2021
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