Individual
MATILDE ALEJANDRA TORALLAS HUERTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3903 NORTH DALE BLVD. SUITE 100E, TAMPA, FL 33624
(813) 501-3097
(813) 922-3345
Mailing address
3614 CARROLLWOOD PLACE CIRCLE #110, TAMPA, FL 33624
(813) 501-3097
(813) 315-6054
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
IMT 2249
FL
106H00000X
Marriage & Family Therapist
Primary
MT3348
FL
Other
Enumeration date
05/18/2016
Last updated
03/20/2019
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