Individual
MS. ANNETTE FIEDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
22119 ELMIRA BLVD, PORT CHARLOTTE, FL 33952-7018
(941) 255-0616
(941) 295-7973
Mailing address
22119 ELMIRA BLVD, PORT CHARLOTTE, FL 33952-7018
(941) 255-0616
(941) 295-7973
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH6943
FL
101YM0800X
Mental Health Counselor
Primary
MH6943
FL
106H00000X
Marriage & Family Therapist
MH6943
FL
170300000X
Genetic Counselor (M.S.)
MH6943
FL
Other
Enumeration date
11/28/2006
Last updated
05/15/2014
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