MARK WELLIVER

FORT MYERS, FL
NPI1679902472
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH11784)
Enumeration Date2013-11-02
Last Update Date2013-11-02
Business Address
-- MARK WELLIVER LMHC
10140 DEER RUN FARMS RD
FORT MYERS, FL 33966-1045
Phone number: 239-791-1586
Mailing Address
-- MARK WELLIVER LMHC
3763 EVANS AVE
FORT MYERS, FL 33901-9302
Phone number: 239-791-1586
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