Miss Nicole M. De La Torre Salas M.S.
Mental Health Counselor in Jacksonville, FL(View on Map)
Full Name
Miss Nicole Marie De La Torre Salas M.S.
NPI Number
1710484258
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/11/2018
Specialties
(Taxonomies)Licenses
State
Florida
Florida
Florida
License Number
MH23301
23301
IMH17069
Contact
Information
Purpose
Mailing
Location
Address
198 ARORA BLVD APT 205
4595 LEXINGTON AVE FL 32210
City
Orange Park
Jacksonville
State
FL
FL
Postal Code
32073-3232
32210-2058
Country
US
US
Telephone Number
(787) 219-7393
(904) 448-4700
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/12/2024