Individual
DR. INGRIS MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD-MHLC
Contact information
Practice address
5330 CENTER RANCH LAKE BLVD, ST. CLOUD, FL 34771-6202
(407) 744-5447
(407) 744-5447
Mailing address
5330 CENTER RANCH LAKE BLVD, ST. CLOUD, FL 34771-6202
(407) 744-5447
(407) 744-5447
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00850900
NJ
101YP2500X
Professional Counselor
4375
PR
103TC1900X
Counseling Psychologist
Primary
2712
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
25561
FL
Other
Enumeration date
02/23/2018
Last updated
05/14/2026
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