Gabrielle Etrina Carey-Johnson
Counselor, Mental Health in Miami, FL. Individual provider (NPI-1).
NPI number1164026167
StatusActive
Last updated in NPPESNov 2, 2021
Details
- NPI
- 1164026167
- Entity type
- Individual (NPI-1)
- Name
- Gabrielle Etrina Carey-Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2020
- Certification date
- Nov 2, 2021
- Last updated
- Nov 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MH19803 | FL | Yes |
| 106H00000X | Marriage & Family Therapist | IMT2609 | FL |
Practice location
170 Ne 159th StMiami, FL 33162-4215
Phone 786-501-6363
Mailing address
170 Ne 159th StMiami, FL 33162-4215
Phone 786-501-6363
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