Individual
ANDRIA GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12424 BRANTLEY COMMONS CT, FORT MYERS, FL 33907-5680
(239) 332-8009
Mailing address
12424 BRANTLEY COMMONS CT, FORT MYERS, FL 33907-5680
(239) 332-8009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH14930
FL
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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