Individual
ANISSA LACHUN JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9206 OAK CREST DR, PENSACOLA, FL 32526-7871
(803) 524-4187
Mailing address
9206 OAK CREST DR, PENSACOLA, FL 32526-7871
(803) 524-4187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
19735
NC
101YP2500X
Professional Counselor
Primary
3504
AL
Other
Enumeration date
05/19/2021
Last updated
03/26/2024
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