Advanced Behavioral Network
Counselor, Mental Health in Coral Gables, FL. Organization (NPI-2).
NPI number1598024325
StatusActive
Last updated in NPPESMay 14, 2012
Details
- NPI
- 1598024325
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Behavioral Network
- Organization subpart
- No
- Enumeration date
- May 14, 2012
- Last updated
- May 14, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MH4296 | FL | Yes |
Practice location
250 Catalonia AveSuite 807
Coral Gables, FL 33134-6735
Phone 305-648-0604
Mailing address
250 Catalonia AveSuite 807
Coral Gables, FL 33134-6735
Phone 305-648-0604
Authorized official
Maria Pilar Gondra
Licensed Psychotherapist
3056480604
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