Individual provider · Type 1 NPI

Ivy Mairura

Mental Health Counselor · Orlando, FL

NPI number 1184409559 Active

Practice location

1317 Edgewater Dr # 1831
Orlando, FL 32804-6350

Call (321) 926-1105 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH22647 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1184409559

Ivy Mairura's National Provider Identifier is 1184409559, issued on Aug 25, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orlando, FL. The record was last updated on Aug 25, 2023.