person
Mr. Peter Douglas Nordstrom, LMHC
Mental Health Counselor in Tavares, Florida
NPI 1033180849

Peter Douglas Nordstrom is a Mental Health Counselor based in Tavares, FL and is specialized in Mental Health. Peter Douglas Nordstrom practices in Tavares, FL and has the professional credentials of LMHC. The NPI Number for Peter Douglas Nordstrom is 1033180849 and holds a License No. MH6961 (Florida).

The current practice location address for Peter Douglas Nordstrom is 114 St Clair Abrams Ave, Tavares, FL and can be reached out via phone at 352-253-6300 and via fax at 352-343-7691.

Location: 114 St Clair Abrams Ave, Tavares, FL, 32778-4757
person
Provider Profile Details
NPI Number
1033180849
Provider Name
Peter Douglas Nordstrom
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
114 St Clair Abrams Ave, Tavares, FL, 32778-4757
Phone Number
352-253-6300
Fax Number
352-343-7691
Provider Enumeration Date
01/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z003A 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
114 St Clair Abrams Ave
City
State
Zip
32778
Phone Number
352-253-6300
Fax Number
352-343-7691
person
Provider Business Mailing Address Details
Address
114 St Clair Abrams Ave
City
State
Zip
32778
Phone Number
352-253-6300
Fax Number
352-343-7691
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH6961 (Florida)
Definition
Definition to come...
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