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Provider Information for 1588020929


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JOSELY DANIEL


Sex: Female

NPI: 1588020929
Last Updated: 2016-03-13
Certification Date:

Details

NameValue
NPI1588020929
Enumeration Date2016-01-14
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 2479 ALOMA AVE
WINTER PARK, FL 32792-2541
United States

Phone: 407-655-0612 | Fax:
 
Primary Practice Address 2479 ALOMA AVE
WINTER PARK, FL 32792-2541
United States

Phone: 407-655-0612 | 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 Health