| Susan Antico,lmhc,pa | |
|
5850 W Atlantic Ave Delray Beach FL 33484-8429 | |
| (561) 866-6897 | |
| (561) 637-2595 |
| Full Name | Susan Antico,lmhc,pa |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5850 W Atlantic Ave, Delray Beach, Florida |
| Authorized Official Name and Position | Susan Antico (PRESIDENT) |
| Authorized Official Contact | 5618666897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Antico,lmhc,pa 10676 Plainview Cir Boca Raton FL 33498-6362 Ph: (561) 866-6897 | Susan Antico,lmhc,pa 5850 W Atlantic Ave Delray Beach FL 33484-8429 Ph: (561) 866-6897 |
| NPI Number | 1841450293 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841450293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH5649 (Florida) | Primary |
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