Individual
MR. ANTHONY RICHARD LA FORGIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
630A WOODBURY DR, PORT CHARLOTTE, FL 33954-1000
(941) 451-0899
(941) 613-1451
Mailing address
630A WOODBURY DR, PORT CHARLOTTE, FL 33954-1000
(941) 451-0899
(941) 613-1451
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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