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Individual

MRS. ISABEL GONZALEZ WONGVALLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D., LMHC, LMFT

Contact information

Practice address
10691 N KENDALL DR STE 105, MIAMI, FL 33176-1596
(305) 668-6018
Mailing address
901 NE 191ST ST, MIAMI, FL 33179-3969
(786) 426-9176

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH11662
FL
103TC0700X
Clinical Psychologist
Primary
PY10951
FL
106H00000X
Marriage & Family Therapist
MT2763
FL

Other

Enumeration date
03/05/2013
Last updated
12/10/2020
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