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Individual
JOSE JAVIER SIERRA
Active
Individual
JOSE JAVIER SIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 9319
FL
101YP2500X
Professional Counselor
180005069
IL
106H00000X
Marriage & Family Therapist
MT 2284
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364333972
TAX IDENTIFICATION NO.
IL
Enumeration date
09/23/2005
Last updated
09/30/2010
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