Individual
CAROLINA MAGNUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3000 NE 56TH CT, FORT LAUDERDALE, FL 33308-2802
(954) 802-3327
Mailing address
PO BOX 39601, FORT LAUDERDALE, FL 33339-9601
(954) 802-3327
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
MH18760
FL
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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