Individual
TERESA ODALYS GARCIA ARTEAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
12905 SW 42ND ST, MIAMI, FL 33175-2905
(786) 558-7248
Mailing address
12905 SW 42ND ST, MIAMI, FL 33175-2905
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
Primary
MT2488
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002620300
—
FL
05
—
767440600
—
FL
Enumeration date
06/15/2006
Last updated
05/23/2016
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