Individual
AMANDA MARIA JEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
578 E 33RD ST, HIALEAH, FL 33013-3351
(786) 985-9405
Mailing address
578 E 33RD ST, HIALEAH, FL 33013-3351
(786) 985-9405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH23040
FL
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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