Individual
ANN ELIZABETH GLEASON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8022 OLD COUNTY ROAD 54, NEW PORT RICHEY, FL 34653-6409
(727) 784-8244
Mailing address
4861 SHELL STREAM BLVD, NEW PORT RICHEY, FL 34652-4438
(404) 316-7818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12658
FL
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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