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Amanda Maria Larson
Mental Health Counselor in Middleburg, Florida
NPI 1114568912

Amanda Maria Larson is a Mental Health Counselor based in Orange Park, FL and is specialized in Mental Health. Amanda Maria Larson practices in Middleburg, FL. The NPI Number for Amanda Maria Larson is 1114568912 and holds a License No. MH17383 (Florida).

The current practice location address for Amanda Maria Larson is 3292 County Road 220, Middleburg, FL and can be reached out via phone at 904-291-5561 and via fax at 904-291-5575.

Location: 3292 County Road 220, Middleburg, FL, 32073-4411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114568912
Provider Name
Amanda Maria Larson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3292 County Road 220, Middleburg, FL, 32073-4411
Phone Number
904-291-5561
Fax Number
904-291-5575
Provider Enumeration Date
10/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3292 County Road 220
City
Middleburg
State
Florida
Zip
32068-4357
Phone Number
904-291-5561
Fax Number
904-291-5575
person
Provider Business Mailing Address Details
Address
3292 County Road 220
City
Middleburg
State
Florida
Zip
32068-4357
Phone Number
904-291-5561
Fax Number
904-291-5575
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH17383 (Florida)
Definition
Definition to come...
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