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Angela Diaz-vidaillet
Mental Health Counselor in Miami Shores, Florida
NPI 1427717255

Angela Diaz-vidaillet is a Mental Health Counselor based in Miami Shores, FL and is specialized in Mental Health. Angela Diaz-vidaillet practices in Miami Shores, FL. The NPI Number for Angela Diaz-vidaillet is 1427717255 and holds a License No. (Florida).

The current practice location address for Angela Diaz-vidaillet is 65 Nw 107Th St, Miami Shores, FL and can be reached out via phone at 305-542-4128.

Location: 65 Nw 107Th St, Miami Shores, FL, 33168-4306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427717255
Provider Name
Angela Diaz-vidaillet
Credential
Provider Entity Type
Individual
Gender
Female
Address
65 Nw 107Th St, Miami Shores, FL, 33168-4306
Phone Number
305-542-4128
Fax Number
Provider Enumeration Date
12/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
65 Nw 107Th St
City
Miami Shores
State
Florida
Zip
33168-4306
Phone Number
305-542-4128
Fax Number
person
Provider Business Mailing Address Details
Address
65 Nw 107Th St
City
Miami Shores
State
Florida
Zip
33168-4306
Phone Number
305-542-4128
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH2353 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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