Individual
JENNIFER MUGUERCIA CHALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHCM
Contact information
Practice address
1905 NW 82ND AVE, DORAL, FL 33126-1011
(786) 420-5924
Mailing address
4690 E 8TH LN, HIALEAH, FL 33013-2008
(786) 906-4884
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.0107113
FL
Other
Enumeration date
11/07/2023
Last updated
06/07/2025
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