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Ivy Mairura
Mental Health Counselor in Orlando, Florida
NPI 1184409559

Ivy Mairura is a Mental Health Counselor based in Orlando, FL and is specialized in Mental Health. Ivy Mairura practices in Orlando, FL. The NPI Number for Ivy Mairura is 1184409559 and holds a License No. MH22647 (Florida).

The current practice location address for Ivy Mairura is 1317 Edgewater Dr # 1831, Orlando, FL and can be reached out via phone at 321-926-1105.

Location: 1317 Edgewater Dr # 1831, Orlando, FL, 32804-6350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184409559
Provider Name
Ivy Mairura
Credential
Provider Entity Type
Individual
Gender
Female
Address
1317 Edgewater Dr # 1831, Orlando, FL, 32804-6350
Phone Number
321-926-1105
Fax Number
Provider Enumeration Date
08/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1317 Edgewater Dr # 1831
City
Orlando
State
Florida
Zip
32804-6350
Phone Number
321-926-1105
Fax Number
person
Provider Business Mailing Address Details
Address
1317 Edgewater Dr # 1831
City
Orlando
State
Florida
Zip
32804-6350
Phone Number
321-926-1105
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH22647 (Florida)
Definition
Definition to come...
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