Most Relevant Information
Provider Data
| NPI Number: | 1003174335 |
| Provider Name: | TERI F ISABELLA LPCMH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | PC-0000394 |
Most Important Dates
| Enumeration Date: | 04/24/2012 |
| Last Updated: | 06/11/2022 |
Provider Practice Location
4777 STORKWOOD RD APT A
BOYNTON BEACH
FL
334364182
Practice Location Phone/Fax
| Phone: | 3024235596 |
| Fax: |
Provider Mailing Location
4777 STORKWOOD RD APT A
BOYNTON BEACH
FL
334364182
Provider Mailing Phone/Fax
| Phone: | 3024235596 |
| Fax: |