Individual
CATALINA FORTICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4789 SW 148TH AVE, DAVIE, FL 33330-2119
(786) 413-8060
Mailing address
4789 SW 148TH AVE, DAVIE, FL 33330-2119
(786) 413-8060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MT3627
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT3627
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
09/10/2019
Last updated
09/10/2019
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