Individual
SHIJU VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
3125 BRUTON BLVD, ORLANDO, FL 32805-6608
(407) 514-4563
Mailing address
318 COUNTRY COTTAGE LN, WINTER GARDEN, FL 34787-6544
(973) 229-3503
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3192.
FL
Other
Enumeration date
07/17/2015
Last updated
07/07/2016
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