Individual
LYANNE M VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
12603 LAKE SQUARE CIR APT 109, ORLANDO, FL 32821-6978
(787) 616-5121
Mailing address
12603 LAKE SQUARE CIR APT 109, ORLANDO, FL 32821-6978
(787) 616-5121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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