Organization
CENTER FOR LIFE TRANSITIONS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONSTANCE A STEGALL MFT (PRESIDENT)
(239) 549-8342
Entity
Organization
Contact information
Practice address
1505 SE 40TH ST STE E, CAPE CORAL, FL 33904-7913
(239) 549-8342
Mailing address
1505 SE 40TH ST STE E, CAPE CORAL, FL 33904-7913
(239) 549-8342
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1991
FL
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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