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Individual

ANTHONY GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC, CAP

Contact information

Practice address
12381 S CLEVELAND AVE, FORT MYERS, FL 33907-3893
(239) 203-8807
Mailing address
12381 S CLEVELAND AVE, FORT MYERS, FL 33907-3893
(239) 203-8807

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADC-008187-2015
FL
101YM0800X
Mental Health Counselor
Primary
MH15682
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ADC-008187-2015
FLORIDA CERTIFICATION BOARD
FL
01
MH15682
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
05/22/2019
Last updated
06/11/2019
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