Provider Information for 1396419123
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THAMOUSCA JUNIS-FLORIAN LMHC, IMH-E
Sex: Female
NPI: 1396419123
Last Updated: 2021-08-04
Certification Date: 2021-08-04
Certification Date: 2021-08-04
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1396419123 | ||||||||||||||
| Enumeration Date | 2021-08-04 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 13500 SW 250TH ST # 4117 PRINCETON, FL 33092-0879 United States Phone: 954-793-1904 | Fax: | ||||||||||||||
| Primary Practice Address | 7875 SW 104TH ST STE 101 PINECREST, FL 33156-2642 United States Phone: 305-740-8998 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | 1601 NW 12TH AVE | ||||||||||||||
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