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Organization
SUSAN ANTICO,MS,LMHC,PA
Active
Organization
SUSAN ANTICO,MS,LMHC,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ANTICO (OWNER)
(561) 866-6897
Entity
Organization
Contact information
Practice address
15283 SOUTHERN MARTIN ST, WINTER GARDEN, FL 34787-4873
(561) 866-6897
Mailing address
15283 SOUTHERN MARTIN ST, WINTER GARDEN, FL 34787-4873
(561) 866-6897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH5649
FL
174400000X
Specialist
Primary
MH5649
FL
Other
Enumeration date
04/29/2013
Last updated
08/12/2026
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