Individual
NICOLE D BENEDICT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.M.F.T
Contact information
Practice address
7501 NW 12TH ST, PLANTATION, FL 33313-5921
(954) 560-2082
(954) 958-1620
Mailing address
7501 NW 12TH ST, PLANTATION, FL 33313-5921
(954) 560-2082
(954) 958-1620
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2046
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
765824900
—
FL
Enumeration date
03/28/2007
Last updated
07/08/2007
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