Individual provider · Type 1 NPI
Julissa A. Reynoso, LMHC
Mental Health Counselor · Charentsavan, AM
NPI number
1174027262
Active
Practice location
District 7, Building 6, Apartment 7
Charentsavan, AM 25021
Mailing address
23483 SW 112th Pl
Homestead, FL 33032-4701
Other practice locations
- 23483 SW 112th Pl, Homestead, FL 33032-4701 · (305) 343-2902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH14756 (FL) |
Mental Health Counselor: Definition to come...
About NPI 1174027262
Julissa A. Reynoso, LMHC's National Provider Identifier is 1174027262, issued on Mar 22, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charentsavan, AM. The record was last updated on Mar 22, 2018.