Individual
JEAN-MICHAEL BOUCIQUOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
11011 SHERIDAN ST STE 211, HOLLYWOOD, FL 33026-1531
(305) 934-8832
Mailing address
11288 SW 9TH CT, PEMBROKE PINES, FL 33025-4304
(305) 934-8832
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3593
FL
Other
Enumeration date
11/17/2018
Last updated
11/17/2018
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