Individual
BETTINA D GENSOLLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2000 S DIXIE HWY, SUITE 104, MIAMI, FL 33133-2456
(786) 309-7336
Mailing address
2525 SW 3RD AVE APT 1405, MIAMI, FL 33129-2059
(305) 788-9534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH6355
FL
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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