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Adelle Altidor
Mental Health Counselor in Port St Lucie, Florida
NPI 1528437753

Adelle Altidor is a Mental Health Counselor based in Port St Lucie, FL and is specialized in Mental Health. Adelle Altidor practices in Port St Lucie, FL. The NPI Number for Adelle Altidor is 1528437753 and holds a License No. (Florida).

The current practice location address for Adelle Altidor is 525 Nw Lake Whitney Pl, Port St Lucie, FL and can be reached out via phone at 772-337-8164 and via fax at 772-337-8165.

Location: 525 Nw Lake Whitney Pl, Port St Lucie, FL, 34986-1605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528437753
Provider Name
Adelle Altidor
Credential
Provider Entity Type
Individual
Gender
Female
Address
525 Nw Lake Whitney Pl, Port St Lucie, FL, 34986-1605
Phone Number
772-337-8164
Fax Number
772-337-8165
Provider Enumeration Date
09/17/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A433-000-81-722-1 01 FL DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
525 Nw Lake Whitney Pl
City
Port St Lucie
State
Florida
Zip
34986-1605
Phone Number
772-337-8164
Fax Number
772-337-8165
person
Provider Business Mailing Address Details
Address
525 Nw Lake Whitney Pl
City
Port St Lucie
State
Florida
Zip
34986-1605
Phone Number
772-337-8164
Fax Number
772-337-8165
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Florida)
Definition
Definition to come...
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