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Marta Gongora Ricardo
Mental Health Counselor in St Petersburg, Florida
NPI 1568913200

Marta Gongora Ricardo is a Mental Health Counselor based in St Petersburg, FL and is specialized in Mental Health. Marta Gongora Ricardo practices in St Petersburg, FL. The NPI Number for Marta Gongora Ricardo is 1568913200 and holds a License No. 193200000X (Florida).

The current practice location address for Marta Gongora Ricardo is 2510 1St Ave S, St Petersburg, FL and can be reached out via phone at 727-289-1164 and via fax at 866-788-1127.

Location: 2510 1St Ave S, St Petersburg, FL, 33712-1106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568913200
Provider Name
Marta Gongora Ricardo
Credential
Provider Entity Type
Individual
Gender
Female
Address
2510 1St Ave S, St Petersburg, FL, 33712-1106
Phone Number
727-289-1164
Fax Number
866-788-1127
Provider Enumeration Date
10/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2510 1St Ave S
City
St Petersburg
State
Florida
Zip
33712-1106
Phone Number
727-289-1164
Fax Number
866-788-1127
person
Provider Business Mailing Address Details
Address
2510 1St Ave S
City
St Petersburg
State
Florida
Zip
33712-1106
Phone Number
727-289-1164
Fax Number
866-788-1127
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
193200000X (Florida)
Definition
Definition to come...
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