Individual
MS. DIANE VENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4386 LAKE UNDERHILL RD, SUITE 100, ORLANDO, FL 32803-7031
(407) 760-0065
Mailing address
2056 ALOMA AVE, SUITE 100, WINTER PARK, FL 32792-3340
(407) 629-0413
(407) 629-2603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
IMH 7517
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IMH 7517
STATE LICENSE NUMBER
FL
Enumeration date
07/27/2010
Last updated
07/27/2010
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