Individual
JOHN PHILLIP JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LMHC MH15041
Contact information
Practice address
6313 CORPORATE CT STE 120, FORT MYERS, FL 33919-3509
(845) 300-4138
(239) 362-0710
Mailing address
4807 SUNSET CT, APT 205, CAPE CORAL, FL 33904-5040
(845) 300-4138
(239) 362-0710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH15041
LICENSE NUMBER
FL
Enumeration date
10/02/2014
Last updated
12/21/2021
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