Individual
IBLIN PENAGOS-CHINCHILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
8203 SUN SPRING CIRCLE, UNIT 82, ORLANDO, FL 32825
(401) 732-1500
Mailing address
8203 SUN SPRING CIRCLE, UNIT 82, ORLANDO, FL 32825
(954) 682-0597
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
05/08/2023
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