Individual
ANNA PEARCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4 9TH AVE STE F, SHALIMAR, FL 32579-1742
(850) 290-2145
Mailing address
641 BRIAN CIR, MARY ESTHER, FL 32569-1627
(505) 480-2726
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SW16854
FL
101YM0800X
Mental Health Counselor
Primary
SW16854
FL
Other
Enumeration date
09/18/2021
Last updated
09/18/2021
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