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Individual
IRIS PITALUGA
Active
Individual
IRIS PITALUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH0003991
FL
103K00000X
Behavior Analyst
MH3991
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH 0003991
MENTAL HEALTH LICENSE
FL
01
—
Z9976
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/18/2007
Last updated
01/11/2018
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