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Jasmin Mamak
Mental Health Counselor in Fort Lauderdale, Florida
NPI 1659846137

Jasmin Mamak is a Mental Health Counselor based in Fort Lauderdale, FL and is specialized in Mental Health. Jasmin Mamak practices in Fort Lauderdale, FL. The NPI Number for Jasmin Mamak is 1659846137 and holds a License No. 16384 (Florida).

The current practice location address for Jasmin Mamak is 3220 Sw 4Th Ave, Fort Lauderdale, FL and can be reached out via phone at 850-477-4759.

Location: 3220 Sw 4Th Ave, Fort Lauderdale, FL, 33315-3019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659846137
Provider Name
Jasmin Mamak
Credential
Provider Entity Type
Individual
Gender
Female
Address
3220 Sw 4Th Ave, Fort Lauderdale, FL, 33315-3019
Phone Number
850-477-4759
Fax Number
Provider Enumeration Date
10/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3220 Sw 4Th Ave
City
Fort Lauderdale
State
Florida
Zip
33315-3019
Phone Number
850-477-4759
Fax Number
person
Provider Business Mailing Address Details
Address
3220 Sw 4Th Ave
City
Fort Lauderdale
State
Florida
Zip
33315-3019
Phone Number
850-477-4759
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH16384 (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.
16384 (Florida)
Definition
Definition to come...
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