Individual provider · Type 1 NPI

Desirae Kelisha Ofori

Mental Health Counselor · Lutz, FL

NPI number 1760720510 Active

Practice location

1515 Michelin Ct
Lutz, FL 33549-7533

Fax (813) 949-2926

Mailing address

617 Sandstone St
Lakeland, FL 33809-0955

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH9650 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1760720510

Desirae Kelisha Ofori's National Provider Identifier is 1760720510, issued on Jan 29, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lutz, FL. The record was last updated on Jan 29, 2013.