Individual provider · Type 1 NPI

Edgar Lee Etienne

Mental Health Counselor · Kissimmee, FL

NPI number 1033764345 Active

Practice location

1176 Cypress Glen Cir
Kissimmee, FL 34741-7560

Mailing address

2531 NE 3rd Ter
Pompano Beach, FL 33064-4538

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1033764345

Edgar Lee Etienne's National Provider Identifier is 1033764345, issued on Aug 4, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kissimmee, FL. The record was last updated on Nov 7, 2025.