Individual
CHARLES P. WANIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LMFT
Contact information
Practice address
2200 NW CORPORATE BLVD, SUITE 300, BOCA RATON, FL 33431-7387
(561) 251-0202
(561) 244-8146
Mailing address
PO BOX 273391, BOCA RATON, FL 33427-3391
(561) 251-0202
(561) 244-8146
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH2102
FL
106H00000X
Marriage & Family Therapist
MT1262
FL
Other
Enumeration date
05/15/2007
Last updated
06/24/2014
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