Individual
MS. CARMENE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
1065 NE 125TH ST, STE 206, NORTH MIAMI, FL 33161-5821
(888) 852-6672
(305) 891-4228
Mailing address
2801 NE 183RD ST, SUITE 216, AVENTURA, FL 33160-2100
(305) 931-3845
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH8861
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002667200
—
FL
Enumeration date
05/19/2010
Last updated
11/17/2011
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