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Individual

MS. OLGA M IDRISSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., LMHC, CRC

Contact information

Practice address
2615 VENETIAN DR, BOYNTON BEACH, FL 33426-7475
(561) 985-6200
Mailing address
2615 VENETIAN DR, BOYNTON BEACH, FL 33426-7475
(561) 985-6200

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH11846
FL
225C00000X
Rehabilitation Counselor
Primary
00114821
FL

Other

Enumeration date
04/11/2011
Last updated
10/20/2014
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