Individual
ADRIENNE DESALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-2103
(352) 265-4357
Mailing address
PO BOX 100183, GAINESVILLE, FL 32610-0183
(352) 265-4357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MT3290
FL
106H00000X
Marriage & Family Therapist
Primary
3290
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116711400
—
FL
Enumeration date
09/23/2015
Last updated
01/12/2023
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