Individual
CONSUELO VICTA LEOPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAP
Contact information
Practice address
5501 COLLEGE RD, KEY WEST, FL 33040-4307
(305) 293-7345
(305) 293-7444
Mailing address
1205 4TH ST, KEY WEST, FL 33040-3707
(305) 296-3053
(305) 293-7333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3091
FL
Other
Enumeration date
04/27/2008
Last updated
04/27/2008
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