Individual
MRS. ANDREA J VIRDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
250 CATALONIA AVE STE 305, CORAL GABLES, FL 33134-6730
(786) 310-6065
Mailing address
860 NE 84TH ST, MIAMI, FL 33138-3652
(305) 409-7338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16194
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V630-010-70-880-0
DRIVER'S LICENCSE
FL
Enumeration date
01/22/2019
Last updated
01/28/2019
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