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Jeremiah Model, LMHC
Mental Health Counselor in Davie, Florida
NPI 1477206795

Jeremiah Model is a Mental Health Counselor based in Davie, FL and is specialized in Mental Health. Jeremiah Model practices in Davie, FL and has the professional credentials of LMHC. The NPI Number for Jeremiah Model is 1477206795 and holds a License No. MH19671 (Florida).

The current practice location address for Jeremiah Model is 7320 Griffin Rd Ste 223, Davie, FL and can be reached out via phone at 954-399-2431.

Location: 7320 Griffin Rd Ste 223, Davie, FL, 33314-4105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477206795
Provider Name
Jeremiah Model
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
7320 Griffin Rd Ste 223, Davie, FL, 33314-4105
Phone Number
954-399-2431
Fax Number
Provider Enumeration Date
01/27/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH19671 01 FL LICENSE
institution
Provider Business Practice Location Address Details
Address
7320 Griffin Rd Ste 223
City
Davie
State
Florida
Zip
33314-4105
Phone Number
954-399-2431
Fax Number
person
Provider Business Mailing Address Details
Address
7320 Griffin Rd Ste 223
City
Davie
State
Florida
Zip
33314-4105
Phone Number
954-399-2431
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH19671 (Florida)
Definition
Definition to come...
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