Individual
MRS. CAROLINA LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC, LMFT
Contact information
Practice address
823 NW 208TH TER, PEMBROKE PINES, FL 33029-2142
(954) 559-0011
Mailing address
823 NW 208TH TER, PEMBROKE PINES, FL 33029-2142
(954) 559-0011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH14875
FL
106H00000X
Marriage & Family Therapist
MT3589
FL
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767980700
—
FL
05
—
812236900
—
FL
Enumeration date
02/23/2007
Last updated
03/17/2020
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