Individual
MS. BRITT TISDALE STATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
912 BRADSHAW TER, ORLANDO, FL 32806-1210
(321) 695-5496
Mailing address
912 BRADSHAW TER, ORLANDO, FL 32806-1210
(321) 695-5496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH10927
FL
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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