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Individual

MS. STEPHANIE MARIE RIVERA-VELAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, NCC, LMHC, LMFT

Contact information

Practice address
8501 SARATOGA INLET DR, ORLANDO, FL 32829-8376
(407) 706-7162
Mailing address
8501 SARATOGA INLET DR, ORLANDO, FL 32829-8376
(787) 469-0126

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
IMH15564
FL
101YM0800X
Mental Health Counselor
MH16787
FL
101YP2500X
Professional Counselor
103TR0400X
Rehabilitation Psychologist
106H00000X
Marriage & Family Therapist
IMT2652
FL
106H00000X
Marriage & Family Therapist
Primary
MT3713
FL

Other

Enumeration date
06/28/2016
Last updated
11/07/2019
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