Individual
MRS. BRENDA JEANNE MICALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LSP
Contact information
Practice address
323 10TH AVE W, SUITE 303, PALMETTO, FL 34221-5047
(941) 730-6083
Mailing address
2904 CAPTAINS CT, PALMETTO, FL 34221-5972
(941) 721-3722
(941) 721-7253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 5476
FL
103TS0200X
School Psychologist
SS 510
FL
Other
Enumeration date
04/25/2006
Last updated
08/20/2007
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