Individual provider · Type 1 NPI
Angela Diaz-Vidaillet
Mental Health Counselor · Miami Shores, FL
NPI number
1427717255
Active
Practice location
65 NW 107th St
Miami Shores, FL 33168-4306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Mental Health Counselor Primary | 101YM0800X | MH2353 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1427717255
Angela Diaz-Vidaillet's National Provider Identifier is 1427717255, issued on Dec 9, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Miami Shores, FL. The record was last updated on Dec 9, 2021.