Individual provider · Type 1 NPI

Carmen Perez-Illade, IMH

Mental Health Counselor · Winter Park, FL

NPI number 1396861829 Active

Practice location

2802 Aloma Ave, Suite 102
Winter Park, FL 32792-3532

Call (407) 430-6300 Map

Fax (407) 628-3300

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH9110 (FL)

Mental Health Counselor: Definition to come...

9 other providers at this address

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About NPI 1396861829

Carmen Perez-Illade, IMH's National Provider Identifier is 1396861829, issued on Mar 22, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winter Park, FL. The record was last updated on Jul 17, 2007.