Individual
CARMON E BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
2020 26TH AVE E, BRADENTON, FL 34208-7753
(941) 782-4617
Mailing address
3007 BON AIR AVE, SARASOTA, FL 34234-5734
(941) 359-9838
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YM0800X
FL
Other
Enumeration date
11/05/2005
Last updated
05/12/2008
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