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JOHN ANTHONY
>> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1639595531
Individual Registrant: JOHN ANTHONY
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
920 NOBLES FERRY RD LIVE OAK, FL 32064-8463 US
Tel: 386-362-4218 Fax: --
Tel: 386-362-4218 Fax: --
Contact information for business:
920 NOBLES FERRY RD LIVE OAK, FL 32064-8463 US
Tel: 386-362-4218 Fax: --
Tel: 386-362-4218 Fax: --
Registration Information:
NPI: 1639595531
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101Y00000X | Behavioral Health & Social Service Providers Counselor | ||
| Y | 101Y00000X | Behavioral Health & Social Service Providers Counselor | FL |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
