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Individual

MISS AMANDA NICOLE ROLLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
1926 VICTORIA AVE, FORT MYERS, FL 33901-3414
(772) 207-0724
Mailing address
1926 VICTORIA AVE, FORT MYERS, FL 33901-3414

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH22917
FL
101YM0800X
Mental Health Counselor
Primary
MH27603
FL

Other

Enumeration date
09/14/2022
Last updated
04/27/2026
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