Individual
BETH A LILJESTRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS EDS
Contact information
Practice address
3201 SHAMROCK ST S, STE 103, TALLAHASSEE, FL 32309-3321
(850) 661-5466
(850) 894-0062
Mailing address
3233 ARBOR HILL WAY, TALLAHASSEE, FL 32309
(850) 661-5466
(850) 894-0062
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH7203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008302000
—
FL
Enumeration date
10/04/2010
Last updated
04/18/2013
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