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Individual

PARVATY JOHANA SOTO DE LEITAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD. CHAPLAINCY

Contact information

Practice address
2813 N COURSE DR APT 105A, POMPANO BEACH, FL 33069-3050
(954) 650-4226
Mailing address
2813 N COURSE DR APT 105A, POMPANO BEACH, FL 33069-3050
(954) 650-4226

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
05-20-39-34
PR
101YP1600X
Pastoral Counselor
Primary
FL-23-0022
FL

Other

Enumeration date
04/05/2023
Last updated
12/21/2023
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