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Mr. Wayne Douglas Meddock, LMHC
Mental Health Counselor in Fort Myers, Florida
NPI 1033126875

Wayne Douglas Meddock is a Mental Health Counselor based in Fort Myers, FL and is specialized in Mental Health. Wayne Douglas Meddock practices in Fort Myers, FL and has the professional credentials of LMHC. The NPI Number for Wayne Douglas Meddock is 1033126875 and holds a License No. MH2606 (Florida).

The current practice location address for Wayne Douglas Meddock is 6360 Techster Blvd Ste 1, Fort Myers, FL and can be reached out via phone at 239-223-2751.

Location: 6360 Techster Blvd Ste 1, Fort Myers, FL, 33966-4805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033126875
Provider Name
Wayne Douglas Meddock
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
6360 Techster Blvd Ste 1, Fort Myers, FL, 33966-4805
Phone Number
239-223-2751
Fax Number
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
768549100 05 FL
institution
Provider Business Practice Location Address Details
Address
6360 Techster Blvd Ste 1
City
Fort Myers
State
Florida
Zip
33966-4805
Phone Number
239-223-2751
Fax Number
person
Provider Business Mailing Address Details
Address
6360 Techster Blvd Ste 1
City
Fort Myers
State
Florida
Zip
33966-4805
Phone Number
239-223-2751
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH2606 (Florida)
Definition
Definition to come...
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