Individual
ANDY ANSOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2411 NW 98TH AVE, SUNRISE, FL 33322-3262
(954) 274-7233
(877) 795-9105
Mailing address
2411 NW 98TH AVE, SUNRISE, FL 33322-3262
(954) 274-7233
(877) 795-9105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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