Provider Demographics
NPI:1104900588
Name:JARAMILLO, MARY ELAINE (LMHC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ELAINE
Last Name:JARAMILLO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2125 BISCAYNE BLVD
Mailing Address - Street 2:STE 550 A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-5031
Mailing Address - Country:US
Mailing Address - Phone:305-576-4279
Mailing Address - Fax:305-576-4861
Practice Address - Street 1:2125 BISCAYNE BLVD
Practice Address - Street 2:STE 550 A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-5031
Practice Address - Country:US
Practice Address - Phone:305-576-4279
Practice Address - Fax:305-576-4861
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health