Individual provider · Type 1 NPI
Leonardo Custidiano
Mental Health Counselor · Hollywood, FL
NPI number
1235708801
Active
Practice location
1285 Weeping Willow Way
Hollywood, FL 33019-4831
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH19226 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1235708801
Leonardo Custidiano's National Provider Identifier is 1235708801, issued on Jun 18, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hollywood, FL. The record was last updated on Jun 18, 2021.