Provider Demographics
NPI:1093497828
Name:JARAMILLO, ALICIA FRANCESCA (LMHC)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:FRANCESCA
Last Name:JARAMILLO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4405 NE 21ST AVE APT 18
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-5670
Mailing Address - Country:US
Mailing Address - Phone:954-234-6059
Mailing Address - Fax:
Practice Address - Street 1:4405 NE 21ST AVE APT 18
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-5670
Practice Address - Country:US
Practice Address - Phone:954-234-6059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH22563101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health