Individual
MR. CARLOS CARDENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
10300 SW 72ND ST, SUITE 204, MIAMI, FL 33173-3012
(305) 741-3848
Mailing address
10300 SW 72ND ST, SUITE 204, MIAMI, FL 33173-3012
(305) 741-3848
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2504
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003670900
—
FL
Enumeration date
09/30/2010
Last updated
06/24/2013
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