person
Mr. Jason P Licausi, LMFT
Mental Health Counselor in Fort Myers, Florida
NPI 1841711538

Jason P Licausi is a Mental Health Counselor based in Naples, FL and is specialized in Mental Health. Jason P Licausi practices in Fort Myers, FL and has the professional credentials of LMFT. The NPI Number for Jason P Licausi is 1841711538 and holds a License No. IMT2296 (Florida).

The current practice location address for Jason P Licausi is 3049 Cleveland Ave, Fort Myers, FL and can be reached out via phone at 239-826-4870.

Location: 3049 Cleveland Ave, Fort Myers, FL, 34120
person
Provider Profile Details
NPI Number
1841711538
Provider Name
Jason P Licausi
Credential
LMFT
Provider Entity Type
Individual
Gender
Male
Address
3049 Cleveland Ave, Fort Myers, FL, 34120
Phone Number
239-826-4870
Fax Number
Provider Enumeration Date
07/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3049 Cleveland Ave
City
State
Zip
33901-7041
Phone Number
239-826-4870
Fax Number
person
Provider Business Mailing Address Details
Address
3049 Cleveland Ave
City
State
Zip
33901-7041
Phone Number
239-826-4870
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
IMT2296 (Florida)
Definition
Definition to come...
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