MEDICARE: MR. JOSE BTESH LMHC

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
1	101YM0800X	Mental Health Counselor	MH6789	FL

General Provider Information

NPI Number	:	1467733048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSE BTESH LMHC

Provider Business Mailing Address
First Line	:	2150 SANS SOUCI BLVD
Second Line	:	C 1502
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-3045
Country	:	US
Telephone Number	:	786-447-0395
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 SANS SOUCI BLVD
Second Line	:	C 1502
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-3045
Country	:	US
Telephone Number	:	786-447-0395
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2011
Last Update Date	:	09/08/2011

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