KETLUIMAR VALLECILLO SAMOT

Counselor - Mental Health

Active Individual
NPI: 1518718204

Practice Address

912 ROANOKE DR
Minneola, FL 34715

Phone: (434) 665-4822

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 22214 (FL)

Frequently Asked Questions

NPI 1518718204 is the National Provider Identifier for KETLUIMAR VALLECILLO SAMOT, a Counselor - Mental Health provider located in Minneola, FL. This NPI was enumerated on March 29, 2024.
KETLUIMAR VALLECILLO SAMOT practices at 912 ROANOKE DR, Minneola, FL 34715.

Quick Facts

NPI
1518718204
Type
Individual
Enumerated
Mar 29, 2024
Last Updated
Mar 29, 2024

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