Richard Walter Fedora LMHC

NPI 1194821074 - Counselor - 101YM0800X

NPI Details
NPI 1194821074
Gender Male
Enumeration Date 09/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4726 N HABANA AVE
SUITE 204
TAMPA FL, 33614-7144, US
Phone (813) 872-7582
Fax (813) 873-9591
Business Location
4726 N HABANA AVE
SUITE 204
TAMPA FL, 33614-7144, US
Phone (813) 872-7582
Fax (813) 873-9591
Toxanomy
Taxonomy Code 101YM0800X
License State Florida
License Number MH 2794
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According to our database, Richard Walter Fedora LMHC NPI is 1194821074, taxonomy code is 101YM0800X and license number is MH 2794, license state is located at Florida. Richard Walter Fedora LMHC physically located at 4726 N Habana Ave, Tampa FL, 33614-7144. NPI Number Richard Walter Fedora LMHC has the Individual type.

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1194821074 NPI number is provided on an as is basis without warranty of any kind. 1194821074 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Walter Fedora LMHC are for informational purposes only.