Anissa Lachun Joseph
Counselor, Professional in Pensacola, FL. Individual provider (NPI-1).
NPI number1962076265
StatusActive
Last updated in NPPESMar 26, 2024
Details
- NPI
- 1962076265
- Entity type
- Individual (NPI-1)
- Name
- Anissa Lachun Joseph
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 19, 2021
- Certification date
- Mar 26, 2024
- Last updated
- Mar 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 3504 | AL | Yes |
| 101YM0800X | Counselor, Mental Health | 19735 | NC |
Practice location
9206 Oak Crest DrPensacola, FL 32526-7871
Phone 803-524-4187
Mailing address
9206 Oak Crest DrPensacola, FL 32526-7871
Phone 803-524-4187
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