Individual
BRENDA E TEJADA NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
745 W LANSDOWNE AVE, ORANGE CITY, FL 32763-4713
(787) 340-9022
Mailing address
745 W LANSDOWNE AVE, ORANGE CITY, FL 32763-4713
(787) 340-9022
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
23503
FL
Other
Enumeration date
10/19/2017
Last updated
04/12/2024
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