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Individual

ASTRID ELENA PENA PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S

Contact information

Practice address
790 NW 107TH AVE STE 110, MIAMI, FL 33172-3100
(305) 964-5426
Mailing address
11605 NW 89TH ST APT 225, DORAL, FL 33178-1786
(786) 294-3591

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH24783
FL

Other

Enumeration date
10/11/2023
Last updated
10/23/2023
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