Individual
MRS. CARMEN LYDIA DEL VALLE-IZURIETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2950 HALCYON LN STE 701, JACKSONVILLE, FL 32223-6692
(904) 923-3031
(904) 592-8681
Mailing address
9838 OLD BAYMEADOWS RD # 182, JACKSONVILLE, FL 32256-8101
(904) 923-3031
(904) 592-8681
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH16334
FL
Other
Enumeration date
10/05/2018
Last updated
10/24/2018
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