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MS. SUSAN DEBORAH CLIETT LMHC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1871721050

Individual Registrant:
MS. SUSAN DEBORAH CLIETT LMHC
Gender: F
Sole Proprietor

Location and contact information for practice:
19802 OLD BELLAMY RD  ALACHUA, FL 32615-3867 US
Tel: 386-462-4830  Fax: 386-462-1952

Contact information for business:
19802 OLD BELLAMY RD  ALACHUA, FL 32615-3867 US
Tel: 386-462-4830  Fax: 386-462-1952

Registration Information:
NPI: 1871721050
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
FLMH 2814

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD PROVIDERZ7670FL01




HEALTH CARE JOBS FL - Page 1



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