Individual
ANTOINETTE PRISTERA DEFINIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
410 DEL PRADO BLVD N, CAPE CORAL, FL 33909-2243
(239) 574-1715
(239) 574-1715
Mailing address
3109 SE 5TH CT, CAPE CORAL, FL 33904-3408
(239) 574-2351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH7323
FL
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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