Individual provider · Type 1 NPI

Michaelange Durant, M.S.

Mental Health Counselor · Lauderdale Lakes, FL

NPI number 1376984740 Active

Practice location

4700 N State Road 7 Bldg A
Lauderdale Lakes, FL 33319-5800

Call (954) 735-4530 Map

Fax (954) 497-3857

Mailing address

4740 N State Road 7, 201
Lauderdale Lakes, FL 33319-5839

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMT1896 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1376984740

Michaelange Durant, M.S.'s National Provider Identifier is 1376984740, issued on Jul 12, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lauderdale Lakes, FL. The record was last updated on Jul 24, 2013.