Individual
CARMEN ISELA VILCHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCDC
Contact information
Practice address
30 SW 108TH AVE APT G7, MIAMI, FL 33174-1494
(682) 223-3087
Mailing address
30 SW 108TH AVE APT G7, MIAMI, FL 33174-1494
(682) 223-3087
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14562
TX
101YP2500X
Professional Counselor
Primary
90944
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14661695
CAQH
TX
Enumeration date
05/26/2020
Last updated
03/08/2024
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