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Raymond F Gannon, LMHC,LPC
Mental Health Counselor in Maitland, Florida
NPI 1831374008

Raymond F Gannon is a Mental Health Counselor based in Citra, FL and is specialized in Mental Health. Raymond F Gannon practices in Maitland, FL and has the professional credentials of LMHC,LPC. The NPI Number for Raymond F Gannon is 1831374008 and holds a License No. 37PC00364400 (Florida).

The current practice location address for Raymond F Gannon is 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL and can be reached out via phone at 848-333-5546.

Location: 1009 Maitland Center Commons Blvd Ste 212, Maitland, FL, 32113-2742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831374008
Provider Name
Raymond F Gannon
Credential
LMHC,LPC
Provider Entity Type
Individual
Gender
Male
Address
1009 Maitland Center Commons Blvd Ste 212, Maitland, FL, 32113-2742
Phone Number
848-333-5546
Fax Number
Provider Enumeration Date
01/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0029807 05 NJ
526788 01 NJ MEDICARE GROUP #
institution
Provider Business Practice Location Address Details
Address
1009 Maitland Center Commons Blvd Ste 212
City
Maitland
State
Florida
Zip
32751-7270
Phone Number
848-333-5546
Fax Number
person
Provider Business Mailing Address Details
Address
1009 Maitland Center Commons Blvd Ste 212
City
Maitland
State
Florida
Zip
32751-7270
Phone Number
848-333-5546
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH12846 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
37PC00364400 (New Jersey)
Definition
Definition to come...
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