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MS. SUSAN DEBORAH CLIETT LMHC
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1871721050
Individual Registrant:MS. SUSAN DEBORAH CLIETT LMHC
Gender: F
Sole Proprietor
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
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
Tel: 386-462-4830 Fax: 386-462-1952
Registration Information:
NPI: 1871721050
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 | FL | MH 2814 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD PROVIDER | Z7670 | FL | 01 |
