Individual provider · Type 1 NPI

Samir Gustavo Jerez, LMHC, QS

Mental Health Counselor · Miami, FL

NPI number 1912916289 Active

Practice location

11855 SW 216th St
Miami, FL 33170-2945

Call (786) 601-2608 Map

Fax (305) 647-0250

Mailing address

PO Box 700731
Miami, FL 33170-0731

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH5950 (FL)
Behavior Analyst 103K00000XMH5950 (FL)

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About NPI 1912916289

Samir Gustavo Jerez, LMHC, QS's National Provider Identifier is 1912916289, issued on Aug 5, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Miami, FL. The record was last updated on Jun 12, 2023.