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NPI Code Detail

MEDICARE: ARIAN ENGLESSON

MEDICARE: ARIAN ENGLESSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor10661FL

General Provider Information

NPI Number : 1881084069
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIAN ENGLESSON
Provider Business Mailing Address
First Line : 1222 N PALMWAY
Second Line :
City : LAKE WORTH
State : FL
Zip : 33460-2318
Country : US
Telephone Number : 954-608-3165
Fax Number :
Provider Business Practice Location Address
First Line : 1222 N PALMWAY
Second Line :
City : LAKE WORTH
State : FL
Zip : 33460-2318
Country : US
Telephone Number : 954-608-3165
Fax Number :
Authorized Official
Title or Position : THERAPIST
Name : ARIAN ENGLESSON
Credential : LMHC
Telephone Number : 954-608-3165
Provider Enumeration Date : 01/27/2015
Last Update Date : 01/27/2015

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Directions to “ARIAN ENGLESSON ” Practice Location

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