Individual
ANGEL R REALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2311 ALTERNATE 19 N, SUITE 1, PALM HARBOR, FL 34683
(727) 254-9183
Mailing address
900 15TH ST, PALM HARBOR, FL 34683-4509
(727) 403-1307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 10220
FL
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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