Individual
TERESA L EVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1201 1ST ST S, WINTER HAVEN, FL 33880-3904
(863) 294-7062
Mailing address
1201 1ST ST S, WINTER HAVEN, FL 33880-3904
(863) 294-7062
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH6524
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
761645700
—
FL
Enumeration date
04/18/2006
Last updated
09/01/2022
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