Individual
DR. ISIBEL CRISTIMAR MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1000 N HIATUS RD, PEMBROKE PINES, FL 33026-3097
(954) 431-7676
Mailing address
PO BOX 292901, DAVIE, FL 33329-2901
(954) 815-8036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH14295
FL
106H00000X
Marriage & Family Therapist
Primary
MT3514
FL
Other
Enumeration date
10/13/2016
Last updated
05/20/2019
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