Individual
REBECCA A LOURIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2222 COLONIAL RD STE 100, FORT PIERCE, FL 34950-5309
(772) 489-4726
Mailing address
2597 SE VICTORY AVE, PORT SAINT LUCIE, FL 34952-6776
(772) 905-7776
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3657
FL
Other
Enumeration date
09/19/2012
Last updated
11/13/2024
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