Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | FL |
NPI | 1003389446 |
---|---|
Provider Name | Suzette Facey |
First Address | Naples, FL 34120-5322 |
Second Address | Naples, FL 34120-5322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2019 |
Last Update Date | 08/01/2019 |