Individual
MRS. CANDACE FOUQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LMHC
Contact information
Practice address
237 FERNWOOD BLVD, FERN PARK, FL 32730-2116
(407) 831-2411
Mailing address
237 FERNWOOD BLVD, FERN PARK, FL 32730-2116
(407) 831-2411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13302
FL
101YM0800X
Mental Health Counselor
MT 3091
FL
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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