Individual
LISA MAZZOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CAP
Contact information
Practice address
1700 EDUCATION AVE, PUNTA GORDA, FL 33950-6222
(941) 639-8300
(941) 347-6455
Mailing address
1705 COLONIAL BLVD STE B-1, FORT MYERS, FL 33907
(217) 825-8664
(239) 278-7785
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH12675
FL
Other
Enumeration date
07/02/2014
Last updated
11/09/2016
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