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Provider Information for 1023856952


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ASTRIDE CORNET LMHC


Sex: Female

NPI: 1023856952
Last Updated: 2024-07-16
Certification Date: 2024-07-16

Details

NameValue
NPI1023856952
Enumeration Date2024-07-16
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 7751 JUNIPER ST
MIRAMAR, FL 33023-5842
United States

Phone: 305-781-2308 | Fax:
 
Primary Practice Address 7751 JUNIPER ST
MIRAMAR, FL 33023-5842
United States

Phone: 305-781-2308 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLMH19958