Individual
WANDALIZ MARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 GRAND BLVD STE A, NEW PORT RICHEY, FL 34652-3843
(352) 269-5598
(813) 618-5022
Mailing address
4698 MARINER BLVD, SPRING HILL, FL 34609-1945
(484) 258-4553
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH20078
FL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/18/2017
Last updated
02/05/2024
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