Individual
CARLOS MACEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
16 SE 18TH ST, FORT LAUDERDALE, FL 33316-2812
(954) 558-8138
Mailing address
5708 CODY ST, HOLLYWOOD, FL 33021-2139
(954) 558-8138
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13726
FL
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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