Female

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)

Code

101YM0800X

Primary Taxonomy

Yes

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

Provider Address

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