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NPI Code Detail

MEDICARE: IRLINDA CASSANDRA DORVILIER

MEDICARE:   IRLINDA CASSANDRA DORVILIER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1093186108
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRLINDA CASSANDRA DORVILIER
Provider Business Mailing Address
First Line : 1760 NW 152ND ST
Second Line :
City : OPA LOCKA
State : FL
Zip : 33054-2908
Country : US
Telephone Number : 786-624-7906
Fax Number :
Provider Business Practice Location Address
First Line : 721 NW 29TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33127-3828
Country : US
Telephone Number : 754-581-6226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2015
Last Update Date : 10/15/2015

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Directions to “ IRLINDA CASSANDRA DORVILIER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.