Individual
CARISSA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2956 SW 179TH AVE, MIRAMAR, FL 33029-5516
(954) 205-2381
Mailing address
2956 SW 179TH AVE, MIRAMAR, FL 33029-5516
(954) 205-2381
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH25193
FL
Other
Enumeration date
02/24/2015
Last updated
02/24/2025
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