Individual
EVELYN PUIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 RICKETTS DR, WINCHESTER, VA 22601-3676
(540) 535-1112
Mailing address
13300 SW 22ND ST, MIAMI, FL 33175-1115
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
0701008612
VA
101YM0800X
Mental Health Counselor
MH13881
FL
Other
Enumeration date
11/08/2012
Last updated
01/20/2022
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