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Amanda J Collister, LMHC
Mental Health Counselor in Bartow, Florida
NPI 1255723623

Amanda J Collister is a Mental Health Counselor based in Bartow, FL and is specialized in Mental Health. Amanda J Collister practices in Bartow, FL and has the professional credentials of LMHC. The NPI Number for Amanda J Collister is 1255723623 and holds a License No. MH13971 (Florida).

The current practice location address for Amanda J Collister is 1239 E Main St, Bartow, FL and can be reached out via phone at 863-519-0575.

Location: 1239 E Main St, Bartow, FL, 33831-1559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255723623
Provider Name
Amanda J Collister
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
1239 E Main St, Bartow, FL, 33831-1559
Phone Number
863-519-0575
Fax Number
Provider Enumeration Date
02/23/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016650700 05 FL
institution
Provider Business Practice Location Address Details
Address
1239 E Main St
City
Bartow
State
Florida
Zip
33830-5058
Phone Number
863-519-0575
Fax Number
person
Provider Business Mailing Address Details
Address
1239 E Main St
City
Bartow
State
Florida
Zip
33830-5058
Phone Number
863-519-0575
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH13971 (Florida)
Definition
Definition to come...
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