Healthcare Provider Details

I. General information

NPI: 1538953443
Provider Name (Legal Business Name): JANET CARDOUNEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15603 SW 110TH TER
MIAMI FL
33196-3525
US

IV. Provider business mailing address

15603 SW 110TH TER
MIAMI FL
33196-3525
US

V. Phone/Fax

Practice location:
  • Phone: 305-764-5694
  • Fax:
Mailing address:
  • Phone: 305-764-5694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number25483
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: