Individual
ANIA VELAZCO-RAFAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
15561 SW 152ND TER, MIAMI, FL 33187-5463
(305) 798-5750
Mailing address
15561 SW 152ND TER, MIAMI, FL 33187-5463
(305) 798-5750
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106H00000X
Marriage & Family Therapist
MT2531
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003144700
—
FL
05
—
020355400
—
FL
Enumeration date
09/05/2006
Last updated
09/27/2024
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