Individual
CHARDINAL BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1321 NW 19TH AVE, FORT LAUDERDALE, FL 33311
(954) 507-7029
Mailing address
1321 NW 19TH AVE, FORT LAUDERDALE, FL 33311
(850) 284-5365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW20021
FL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/02/2018
Last updated
12/18/2024
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