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Individual

DR. LESLIE J. GORMAN-ANICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
105 JAZZ DR, PANAMA CITY, FL 32405-4906
(850) 522-9719
(850) 522-9718
Mailing address
117 TREASURE PALM DR, PANAMA CITY BEACH, FL 32408-7718
(540) 226-1879
(850) 522-9718

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
MH 9512
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MH 9512
LICENSED MENTAL HEALTH COUNSELOR
FL
Enumeration date
08/20/2008
Last updated
08/20/2008
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