Individual
MR. CARL EDOUARD JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2222 COLONIAL RD, FORT PIERCE, FL 34950-5309
(772) 489-4726
Mailing address
2222 COLONIAL RD, FORT PIERCE, FL 34950-5309
(772) 489-4726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/13/2011
Last updated
10/23/2020
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