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JOHN ANTHONY

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1639595531

Individual Registrant:
 JOHN  ANTHONY 
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: --

Contact information for business:
920 NOBLES FERRY RD  LIVE OAK, FL 32064-8463 US
Tel: 386-362-4218  Fax: --

Registration Information:
NPI: 1639595531
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101Y00000XBehavioral Health & Social Service Providers
Counselor
Y101Y00000XBehavioral Health & Social Service Providers
Counselor
FL

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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