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Individual

MAITE ANGELIE RODRIGUEZ BERRIOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, PCC, NBC-HWC

Contact information

Practice address
703 TAYLOR BLVD, WINTER HAVEN, FL 33880-1455
(630) 387-9141
Mailing address
703 TAYLOR BLVD, WINTER HAVEN, FL 33880-1455
(630) 387-9141

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171400000X
Health & Wellness Coach
Primary
174400000X
Specialist
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
11/29/2016
Last updated
08/21/2024
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