Individual
MARISOL LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3916 COASTAL BREEZE DR, KISSIMMEE, FL 34744-0009
(407) 429-1144
Mailing address
1156 E VINE ST, KISSIMMEE, FL 34744-3579
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/05/2015
Last updated
11/13/2023
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