Individual
MRS. CAROL RAQUEL DE LA CRUZ MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
9425 SW 72ND ST STE 267, MIAMI, FL 33173-5457
(305) 981-6805
Mailing address
9425 SW 72ND ST STE 267, MIAMI, FL 33173-5457
(305) 981-6805
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH15549
FL
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023664300
—
FL
Enumeration date
10/23/2018
Last updated
04/03/2024
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