Individual
ANEISHA SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
291 NW 104 STREET, MIAMI SHORES, FL 33150
(305) 710-4133
Mailing address
291 NW 104 STREET, MIAMI SHORES, FL 33150
(305) 710-4133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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