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Individual

ALICIA L HENINGBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
721 OAK COMMONS BLVD STE A, KISSIMMEE, FL 34741-4186
(407) 518-9505
(407) 518-9507
Mailing address
721 OAK COMMONS BLVD STE A, KISSIMMEE, FL 34741-4186
(407) 518-9505
(407) 518-9507

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH11963
FL
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/28/2012
Last updated
03/17/2018
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