Individual
KATIA QUEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PY
Contact information
Practice address
2103 CORAL WAY STE 405, MIAMI, FL 33145-2630
(305) 445-3222
Mailing address
13205 NW 7TH LN, MIAMI, FL 33182-2282
(305) 798-7317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH11168
FL
103TC0700X
Clinical Psychologist
Primary
PY11260
FL
Other
Enumeration date
09/05/2006
Last updated
10/13/2021
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