Organization
LISA GUNTHER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN GUNTHER LMHC (PRESIDENT)
(352) 592-7740
Entity
Organization
Contact information
Practice address
12128 CORTEZ BLVD, BROOKSVILLE, FL 34613-5575
(352) 592-7740
Mailing address
12128 CORTEZ BLVD, BROOKSVILLE, FL 34613-5575
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH4482
FL
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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