Individual provider · NPI-1

Sonny Etienne, LMHC, CAP

Counselor, Mental Health · North Lauderdale, FL

NPI number1699214361
StatusActive
Last updated in NPPESFeb 14, 2017

Details

NPI
1699214361
Entity type
Individual (NPI-1)
Name
Sonny Etienne
Credential
LMHC, CAP
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 14, 2017
Last updated
Feb 14, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthMH12849FLYes

Practice location

2309 Sw 82nd Way
North Lauderdale, FL 33068-5112

Phone 754-281-0749

Mailing address

2309 Sw 82nd Way
North Lauderdale, FL 33068-5112

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