Individual
CHARLES ALAN BLICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
3004 34TH ST SW, LEHIGH ACRES, FL 33976-4542
(239) 327-1597
Mailing address
3004 34TH ST SW, LEHIGH ACRES, FL 33976-4542
(239) 327-1597
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH17357
FL
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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