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Alicia Anne Divico, LMHC
Mental Health Counselor in Tampa, Florida
NPI 1013251180

Alicia Anne Divico is a Mental Health Counselor based in Tampa, FL and is specialized in Mental Health. Alicia Anne Divico practices in Tampa, FL and has the professional credentials of LMHC. The NPI Number for Alicia Anne Divico is 1013251180 and holds a License No. MH11494 (Florida).

The current practice location address for Alicia Anne Divico is 550 N Reo St Ste 240, Tampa, FL and can be reached out via phone at 813-435-3060.

Location: 550 N Reo St Ste 240, Tampa, FL, 33614-7074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013251180
Provider Name
Alicia Anne Divico
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
550 N Reo St Ste 240, Tampa, FL, 33614-7074
Phone Number
813-435-3060
Fax Number
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007383800 05 FL
institution
Provider Business Practice Location Address Details
Address
550 N Reo St Ste 240
City
Tampa
State
Florida
Zip
33609-1062
Phone Number
813-435-3060
Fax Number
person
Provider Business Mailing Address Details
Address
550 N Reo St Ste 240
City
Tampa
State
Florida
Zip
33609-1062
Phone Number
813-435-3060
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH11494 (Florida)
Definition
Definition to come...
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