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General NPI Number Information
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NPI Number | 1427920784
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Entity Type | Individual
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Provider Name | CRISTINA ISABEL CARMONA-PORTOCARRERO LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 605 YOUNGSTOWN PKWY APT 34 400 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-4583
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Country | US
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Telephone | 407-716-7683
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Fax |
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Provider Business Mailing Address
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Address Line | 605 YOUNGSTOWN PKWY APT 34
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-4583
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Country | US
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Telephone | 407-716-7683
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH26349
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License Number State | FL
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