Individual
CAROL KELLY VALDIVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14401 OLD CUTLER RD, PALMETTO BAY, FL 33158-1722
(305) 722-5380
Mailing address
801 BRICKELL BAY DR APT 570, MIAMI, FL 33131-2937
(954) 665-4508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH23316
FL
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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