Michael W Northsea, LMHC
Counselor, Mental Health in Gainesville, FL. Individual provider (NPI-1).
NPI number1831692003
StatusActive
Last updated in NPPESMar 14, 2018
Details
- NPI
- 1831692003
- Entity type
- Individual (NPI-1)
- Name
- Michael W Northsea
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 14, 2018
- Last updated
- Mar 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MH10241 | FL | Yes |
Practice location
10316 Sw 105th DrGainesville, FL 32608-7358
Phone 352-514-1052
Mailing address
10316 Sw 105th DrGainesville, FL 32608-7358
Phone 352-514-1052
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