NPI 1053258681
Federal Government (agency Dea)
Practice location
- Address
- 2295 East Irlo Broson Hwy 180, Apo, AA 34747
- Phone
- (305) 609-0024
Authorised official
- Name
- Julio J Landaeta
- Title
- Rac
- Phone
- (305) 609-0024
Registered specialties
Counseling Psychologist
Primary
Registry record
- NPI
- 1053258681
- Entity type
- Organization
- NPI issued
- 1 May 2026
- Record last updated
- 27 Jun 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.