Individual
DR. BRIAN BAKALAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D., LMHC
Contact information
Practice address
11556 STONECREEK CIR, FORT MYERS, FL 33913-9084
(815) 519-3116
Mailing address
11556 STONECREEK CIR, FORT MYERS, FL 33913-9084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH16706
FL
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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