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AMATULLAH DELORES ALI-MUHAMMAD
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1467888362
Individual Registrant: AMATULLAH DELORES ALI-MUHAMMAD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
445 31ST ST N SAINT PETERSBURG, FL 33713-7605 US
Tel: 727-821-4819 Fax: 727-490-0522
Tel: 727-821-4819 Fax: 727-490-0522
Contact information for business:
445 31ST ST N SAINT PETERSBURG, FL 33713-7605 US
Tel: 727-821-4819 Fax: 727-490-0522
Tel: 727-821-4819 Fax: 727-490-0522
Registration Information:
NPI: 1467888362
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
