Individual
BIANCA FONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMHC
Contact information
Practice address
22904 LYDEN DR UNIT 104, ESTERO, FL 33928-7048
(239) 494-3951
Mailing address
6215 MAHAFFEY RD UNIT 202, FORT MYERS, FL 33966-1654
(239) 440-8730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
22681
FL
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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