Individual
MIAUSETTE VALERIE ANTOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSS,CAP
Contact information
Practice address
3928 S NOVA RD, PORT ORANGE, FL 32127-4911
(386) 822-9941
(386) 788-4519
Mailing address
3928 S NOVA RD, PORT ORANGE, FL 32127-4911
(386) 822-9941
(386) 788-4519
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
FL
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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