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MARLY AYALA-ICAZA, MH14786
MH14786
Mental Health Counselor
NPI: 1821412230IndividualAccepts Medicare
Specialties, Licenses & Credentials
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
IMH2387(FL)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2010
Contact & Hours
- Address
- 3500 EL CONQUISTADOR PKWY APT 259, APT 259
BRADENTON, FL 34210 - Phone
- (954) 806-3698
Quick Facts
- NPI
- 1821412230
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 16
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