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NPI Code Detail

MEDICARE: ANOUK HERRERA LCSW

MEDICARE:   ANOUK  HERRERA  LCSW
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
1103K00000XBehavior Analyst
21041C0700XClinical Social WorkerSW13211FL
3101YM0800XMental Health CounselorSW13211FL

General Provider Information

NPI Number : 1659737559
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANOUK HERRERA LCSW
Provider Business Mailing Address
First Line : 380 GIRALDA AVE APT 507W
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-5063
Country : US
Telephone Number : 786-277-2938
Fax Number :
Provider Business Practice Location Address
First Line : 2930 SW 107TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33165-2433
Country : US
Telephone Number : 786-277-2938
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2016
Last Update Date : 12/10/2024

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Directions to “ ANOUK HERRERA LCSW” Practice Location

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