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Ingrid Pinto De Otazu, LMHC
Mental Health Counselor in Melbourne, Florida
NPI 1851752992

Ingrid Pinto De Otazu is a Mental Health Counselor based in Melbourne, FL and is specialized in Mental Health. Ingrid Pinto De Otazu practices in Melbourne, FL and has the professional credentials of LMHC. The NPI Number for Ingrid Pinto De Otazu is 1851752992 and holds a License No. MH19704 (Florida).

The current practice location address for Ingrid Pinto De Otazu is 751 Ashbury Ave, Melbourne, FL and can be reached out via phone at 321-960-1015.

Location: 751 Ashbury Ave, Melbourne, FL, 32940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851752992
Provider Name
Ingrid Pinto De Otazu
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
751 Ashbury Ave, Melbourne, FL, 32940
Phone Number
321-960-1015
Fax Number
Provider Enumeration Date
03/17/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1629483706 05 FL
institution
Provider Business Practice Location Address Details
Address
751 Ashbury Ave
City
Melbourne
State
Florida
Zip
32940
Phone Number
321-960-1015
Fax Number
person
Provider Business Mailing Address Details
Address
751 Ashbury Ave
City
Melbourne
State
Florida
Zip
32940
Phone Number
321-960-1015
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH19704 (Florida)
Definition
Definition to come...
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