Individual
MARCIA J NETHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC, TF-CBT
Contact information
Practice address
14734 AMBERJACK TER, LAKEWOOD RANCH, FL 34202-5800
(717) 658-0581
Mailing address
14734 AMBERJACK TER, LAKEWOOD RANCH, FL 34202-5800
(717) 658-0581
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019024180
MO
101YP2500X
Professional Counselor
PC006365
PA
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102992907
—
PA
Enumeration date
05/25/2010
Last updated
02/16/2023
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