Individual
MR. EGUENEL LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
3354 SW MARTIN ST, PORT ST LUCIE, FL 34953-4915
(561) 670-8825
Mailing address
3354 SW MARTIN ST, PORT ST LUCIE, FL 34953-4915
(561) 670-8825
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH15317
FL
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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