Individual
FAWNA LORENIA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
680 MOUNT STIRLING AVE, APOPKA, FL 32712-4743
(541) 868-6432
Mailing address
680 MOUNT STIRLING AVE, APOPKA, FL 32712-4743
(541) 868-6432
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C2911
OR
101YP2500X
Professional Counselor
Primary
MH23215
FL
Other
Enumeration date
09/18/2009
Last updated
07/11/2024
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