Individual
LORETTA EPSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
851 NW 85TH TERR #1906, PLANTATION, FL 33324
(954) 274-2884
Mailing address
851 NW 85TH TER APT 1906, PLANTATION, FL 33324-1245
(954) 274-2884
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001598988
—
FL
Enumeration date
06/08/2017
Last updated
07/21/2022
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