Individual
MRS. BEATRIZ LOPEZ DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
8353 SW 124TH ST, SUITE 205, MIAMI, FL 33156-5851
(305) 761-8798
Mailing address
10880 SW 136TH TER, MIAMI, FL 33176-6557
(305) 761-8798
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7521
FL
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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