MATTHEW W DITSLEAR

PORT ORANGE, FL
NPI1508538729
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: FL  2754)
Enumeration Date2021-10-05
Last Update Date2021-10-05
Business Address
MATTHEW W DITSLEAR LMFT
520 SUN LAKE DR
PORT ORANGE, FL 32127-1129
Phone number: 904-536-0709
Mailing Address
MATTHEW W DITSLEAR LMFT
520 SUN LAKE DR
PORT ORANGE, FL 32127-1129
Phone number: 190-453-6070