Individual provider · Type 1 NPI

Nelson Vicioso

Mental Health Counselor · Pembroke Pines, FL

NPI number 1164749446 Active

Practice location

17901 NW 5th St Ste 103
Pembroke Pines, FL 33029-2810

Call (305) 829-3272 Map

Mailing address

13196 SW 49th Ct
Miramar, FL 33027-5536

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X50263 (FL)
Marriage & Family Therapist 106H00000X50263 (FL)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1164749446

Nelson Vicioso's National Provider Identifier is 1164749446, issued on Apr 27, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pembroke Pines, FL. The record was last updated on Apr 27, 2010.