Doctor Name: | MARIANA PEREZ |
NPI Number: | 1326408881 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | MH13975 |
Business Practice Address: | 425 N 1st St Immokalee, FL - 341423150 |
Business Phone Number: | 2394558500 |
Business Fax Number: | |
Mailing Address: | 425 N 1st St, IMMOKALEE |
State: | FL |
Postal Code: | 341423150 |
Phone Number: | 2394558500 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2016 |
NPI Last Update Date: | 04/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH13975 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |