Individual
ELIZABETH HERTENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3256 W LAKE MARY BLVD, SUITE 1100, LAKE MARY, FL 32746-3588
(407) 416-5611
Mailing address
107 BRANDIWOOD CT, DEBARY, FL 32713-2242
(407) 416-5611
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2701
FL
Other
Enumeration date
10/27/2010
Last updated
11/08/2012
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