Organization
TERRA COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIQUE ALONSO PH.D. (PRESIDENT)
(786) 393-4680
Entity
Organization
Contact information
Practice address
1450 CORAL WAY STE 6, MIAMI, FL 33145-2856
(786) 393-4680
Mailing address
2323 SW 11TH TER, MIAMI, FL 33135-5008
(786) 393-4680
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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