Individual
ANIL SUTHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11776 WATTLE TREE RD N, JACKSONVILLE, FL 32246-9751
(904) 955-3029
Mailing address
11776 WATTLE TREE RD N, JACKSONVILLE, FL 32246-9751
(904) 955-3029
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MEBTVRHLL
—
FL
01
—
SELF
SELF
—
Enumeration date
08/12/2020
Last updated
08/12/2020
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