Canoura, Lori Sue

Canoura, Lori Sue is an sole proprietor health care provider with primary practice located at 925 Mirror Lake Dr , St Augustine FL 32086-4840. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Canoura, Lori Sue can be contacted via phone (904) 797-4003.

Contact Information

Primary practice address
925 Mirror Lake Dr St Augustine FL 32086-4840
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT1638 Florida

Profile Details

NPI number 1376753020
LBN Legal business name Canoura, Lori Sue
Credentials L.M.F.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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