Individual
MR. TERRENCE M LONERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
5400 S BISCAYNE DR, SUITE A, NORTH PORT, FL 34287-1932
(941) 429-6100
(941) 426-9147
Mailing address
4250 SEAFOX RD, VENICE, FL 34293-5646
(941) 429-6100
(941) 426-9147
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH4348
FL
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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