Individual
DR. SANDRA O BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, CAP. ICADC,CMHP
Contact information
Practice address
201 N FEDERAL HWY FL 2D, DEERFIELD BEACH, FL 33441-3625
(561) 807-9583
(954) 422-1950
Mailing address
201 N FEDERAL HWY FL 2D, DEERFIELD BEACH, FL 33441-3625
(561) 807-9583
(954) 422-1950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4610
FL
101YM0800X
Mental Health Counselor
50150
FL
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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