Individual
CONCEPCION PEREZ EBRAHIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
546 NW UNIVERSITY BLVD, SUITE202, PORT SAINT LUCIE, FL 34986-2286
(772) 361-6767
(954) 497-3857
Mailing address
4740 N STATE ROAD 7, 201, LAUDERDALE LAKES, FL 33319-5839
(954) 486-4005
(954) 497-3857
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/31/2014
Last updated
06/13/2019
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