Individual
ARIELLE THEODORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
18900 N TAMIAMI TRL STE 9, FORT MYERS, FL 33903-7307
(941) 363-0878
Mailing address
18900 N TAMIAMI TRL STE 9, FORT MYERS, FL 33903-7307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH21158
FL
Other
Enumeration date
09/08/2022
Last updated
04/05/2024
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