Individual
SOPHONIE LHERISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT INTERN
Contact information
Practice address
1009 MAITLAND CENTER COMMONS BLVD, SUITE 212, MAITLAND, FL 32751-7270
(954) 300-3135
Mailing address
1009 MAITLAND CENTER COMMONS BLVD, SUITE 212, MAITLAND, FL 32751-7270
(954) 300-3135
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT 972
FL
Other
Enumeration date
11/02/2009
Last updated
05/19/2016
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