Individual
JULIE ECKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
18581 SARASOTA RD, FORT MYERS, FL 33967-3520
(239) 217-1055
Mailing address
17772 OAKMONT RIDGE CIR, FORT MYERS, FL 33967-5294
(888) 428-2788
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH10364
FL
101YM0800X
Mental Health Counselor
MH 10364
FL
102L00000X
Psychoanalyst
MH10364
FL
106E00000X
Assistant Behavior Analyst
MH10364
FL
Other
Enumeration date
08/25/2011
Last updated
10/16/2020
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