Doctor Name: | ALLAN E MONICA |
NPI Number: | 1043490006 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | SW1056 |
Business Practice Address: | 1175 Ne 125th St Suite 205 North Miami, FL - 331615015 |
Business Phone Number: | 3058953307 |
Business Fax Number: | 3058951737 |
Mailing Address: | 1175 Ne 125th St, Suite 205 NORTH MIAMI |
State: | FL |
Postal Code: | 331615015 |
Phone Number: | 3058953307 |
Fax Number: | 3058951737 |
NPI Enumeration Date: | 11/07/2007 |
NPI Last Update Date: | 11/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | SW1056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |