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Leeanna Mantica
Mental Health Counselor in Fort Myers, Florida
NPI 1831640895

Leeanna Mantica is a Mental Health Counselor based in Fort Myers, FL and is specialized in Mental Health. Leeanna Mantica practices in Fort Myers, FL. The NPI Number for Leeanna Mantica is 1831640895 and holds a License No. IMH 13942 (Florida).

The current practice location address for Leeanna Mantica is 3820 Colonial Blvd, Fort Myers, FL and can be reached out via phone at 239-208-9449.

Location: 3820 Colonial Blvd, Fort Myers, FL, 33966-1124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831640895
Provider Name
Leeanna Mantica
Credential
Provider Entity Type
Individual
Gender
Female
Address
3820 Colonial Blvd, Fort Myers, FL, 33966-1124
Phone Number
239-208-9449
Fax Number
Provider Enumeration Date
10/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3820 Colonial Blvd
City
Fort Myers
State
Florida
Zip
33966-1094
Phone Number
239-208-9449
Fax Number
person
Provider Business Mailing Address Details
Address
3820 Colonial Blvd
City
Fort Myers
State
Florida
Zip
33966-1094
Phone Number
239-208-9449
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMH 13942 (Florida)
Definition
Definition to come...
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