Individual
ANTHONY J ETIENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 SE 4TH TER, DANIA BEACH, FL 33004-4139
(754) 256-7858
Mailing address
350 FAIRWAY DR, DEERFIELD BEACH, FL 33441-1834
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1092392
FL
Other
Enumeration date
10/19/2022
Last updated
11/11/2022
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