Individual
ANGEL M AGUASVIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHC
Contact information
Practice address
7501 WILES RD STE 105, CORAL SPRINGS, FL 33067-2063
(954) 341-1022
Mailing address
7501 WILES RD STE 105, CORAL SPRINGS, FL 33067-2063
(954) 341-1022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH10008
FL
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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