Organization
UNIVERSITY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAIRO SERNA LCSW (PARTNER)
(954) 603-7867
Entity
Organization
Contact information
Practice address
8030 PETERS RD, D 106, PLANTATION, FL 33324-4038
(954) 475-9503
(954) 905-4399
Mailing address
2451 BRICKELL AVE, SUITE 16-G, MIAMI, FL 33129-2436
(305) 328-5621
(954) 905-4399
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
SW7020
FL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
MT2274
FL
Other
Enumeration date
10/30/2007
Last updated
08/29/2014
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