Individual
JESSICA B. DIEPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, MCAP, NCC
Contact information
Practice address
13550 N KENDALL DR STE 270C, MIAMI, FL 33186-1513
(305) 989-0493
Mailing address
15000 SW 149TH AVE, MIAMI, FL 33196-4416
(305) 989-0493
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH15433
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
MCAP100498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022974600
—
FL
Enumeration date
08/21/2014
Last updated
02/06/2020
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