Individual
MANUELA LYNN DESPIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3785 NW 82ND AVE STE 206, DORAL, FL 33166-6630
(305) 936-8000
(305) 936-0419
Mailing address
257 LAFAYETTE DR, MIAMI SPRINGS, FL 33166-6955
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
1276829
FL
106H00000X
Marriage & Family Therapist
Primary
MT4116
FL
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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