Individual provider · NPI-1

Ashley Carolina Chamorro

Marriage & Family Therapist · Port St Lucie, FL

NPI number1053010546
StatusActive
Last updated in NPPESFeb 23, 2023

Details

NPI
1053010546
Entity type
Individual (NPI-1)
Name
Ashley Carolina Chamorro
Sex
Female
Sole proprietor
No
Enumeration date
Feb 23, 2023
Certification date
Feb 23, 2023
Last updated
Feb 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist–FLYes

Practice location

1818 Sw Morelia Ln
Port St Lucie, FL 34953-2082

Phone 772-207-0823

Mailing address

567 Nw Lake Whitney Pl
Port St Lucie, FL 34986-1629

Phone 772-207-0823

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