Individual
MRS. BELEN GANGOTENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2813 EXECUTIVE PARK DR, WESTON, FL 33331-3603
(954) 931-9277
Mailing address
2813 EXECUTIVE PARK DR, WESTON, FL 33331-3603
(954) 931-9277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHC14746
FL
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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