Individual
CARLA FUQUAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IMHC
Contact information
Practice address
1663 DUNLAP DR, KEY WEST, FL 33040-4400
(561) 371-5171
Mailing address
2504 PATTERSON AVE, KEY WEST, FL 33040-3919
(561) 371-5171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH120007
FL
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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