Individual
GRACE IZQUIERDO SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12540 SW 8TH ST, MIAMI, FL 33184-1412
(305) 705-6840
(786) 655-0185
Mailing address
11780 SW 18TH ST APT 531, MIAMI, FL 33175-8782
(786) 720-5252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ISW18551
FL
171M00000X
Case Manager/Care Coordinator
Primary
CBHCMS0102652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CBHCM0102433
FLORIDA CERTIFICATION BOARD
FL
01
—
CBHCMS0102652
FLORIDA CERTIFICATION BOARD
FL
01
—
ISW18551
FLORIDA HEALTH DEPARTMENT
FL
Enumeration date
04/24/2023
Last updated
12/08/2023
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