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Individual

YENITZA I ORTIZ VILLEGAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2500 NW 79TH AVE STE 256, MIAMI, FL 33122-1087
(786) 238-7321
Mailing address
14621 SW 183RD TER, MIAMI, FL 33177
(787) 607-7538

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH24024
FL
101YM0800X
Mental Health Counselor
MH24024
106S00000X
Behavior Technician

Other

Enumeration date
08/21/2020
Last updated
09/27/2024
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