Individual provider · NPI-1

Manuela Lynn Despian, LMFT

Marriage & Family Therapist · Doral, FL

NPI number1033886346

StatusActive

Last updated in NPPESAug 24, 2021

Details

NPI: 1033886346
Entity type: Individual (NPI-1)
Name: Manuela Lynn Despian
Credential: LMFT
Sex: Female
Sole proprietor: Yes
Enumeration date: Aug 24, 2021
Certification date: Aug 22, 2021
Last updated: Aug 24, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
106H00000X	Marriage & Family Therapist	MT4116	FL	Yes
101YS0200X	Counselor, School	1276829	FL

Practice location

3785 Nw 82nd Ave Ste 206
Doral, FL 33166-6630

Phone 305-936-8000 · Fax 305-936-0419

Mailing address

257 Lafayette Dr
Miami Springs, FL 33166-6955

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