Individual
MS. CHRISTINA SOCORRO NIESTZCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3105 POPPYSEED CT, ORLANDO, FL 32826-2507
(727) 249-4541
Mailing address
3105 POPPYSEED CT, ORLANDO, FL 32826-2507
(727) 249-4541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH13630
FL
106H00000X
Marriage & Family Therapist
IMT 2306
FL
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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