Individual
MILDRED SIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1776 BAVON DR, DELTONA, FL 32725-3827
(407) 534-7737
Mailing address
1776 BAVON DR, DELTONA, FL 32725-3827
(407) 534-7737
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
PR
101YP1600X
Pastoral Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/06/2015
Last updated
09/29/2023
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