Individual
MR. AURELIO AYUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
725 N US HIGHWAY 1, FORT PIERCE, FL 34950-9125
(772) 252-4014
(772) 999-5577
Mailing address
1631 SW BUFFUM LN, PORT SAINT LUCIE, FL 34984-3529
(772) 337-8500
(772) 338-8505
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SW13870
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
SW13870
FL
101YM0800X
Mental Health Counselor
SW13870
FL
101YP2500X
Professional Counselor
SW13870
FL
1041C0700X
Clinical Social Worker
Primary
SW13870
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103672400
—
FL
Enumeration date
03/07/2017
Last updated
09/17/2019
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