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Individual

DANIELLE L DESANTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CP, LMFT

Contact information

Practice address
480 NE 31ST ST UNIT 3102, MIAMI, FL 33137-4592
(401) 371-0223
(401) 217-3612
Mailing address
480 NE 31ST ST UNIT 3102, MIAMI, FL 33137-4592
(401) 371-0223
(401) 217-3612

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103TC0700X
Clinical Psychologist
PS01861
RI
103TC0700X
Clinical Psychologist
Primary
PY11093
FL
106H00000X
Marriage & Family Therapist
00144
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30343
BLUE CROSS CRISIS
RI
Enumeration date
05/29/2007
Last updated
02/22/2023
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