Individual
JAQUELINE MOLA SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMH
Contact information
Practice address
15141 SW 144TH CT, MIAMI, FL 33186-5680
(786) 567-0062
Mailing address
15141 SW 144TH CT, MIAMI, FL 33186-5680
(786) 567-0062
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
FARS-805050143
FL
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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