Individual
MATHILDE AMBROISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
10800 N MILITARY TRL, SUITE 223, PALM BEACH GARDENS, FL 33410-6500
(561) 515-5347
(561) 404-4147
Mailing address
10800 N MILITARY TRL, SUITE 223, PALM BEACH GARDENS, FL 33410-6500
(561) 515-5347
(561) 404-4147
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT 1901
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IMT 1901
DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
06/16/2014
Last updated
06/16/2014
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