Doctor Name: | DANIELA MENARDI |
NPI Number: | 1144236803 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | CAP 1677 |
Business Practice Address: | 1205 4th St Care Center For Mental Health Key West, FL - 330403707 |
Business Phone Number: | 3052926843 |
Business Fax Number: | 3052927623 |
Mailing Address: | 3314 Northside Dr, Apt.152 KEY WEST |
State: | FL |
Postal Code: | 330404121 |
Phone Number: | 3052938783 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CAP 1677 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |