Doctor Name: | AMINA LINETTE JEREZ |
NPI Number: | 1750575866 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | |
Business Practice Address: | 9299 Sw 152nd St Suite # 200 Palmetto Bay, FL - 331571737 |
Business Phone Number: | 7866012608 |
Business Fax Number: | 3056470250 |
Mailing Address: | Po Box 700731, MIAMI |
State: | FL |
Postal Code: | 331700731 |
Phone Number: | 7866017243 |
Fax Number: | 7863495302 |
NPI Enumeration Date: | 08/31/2007 |
NPI Last Update Date: | 08/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |