Individual provider · Type 1 NPI

Richard Walter Fedora, LMHC

Mental Health Counselor · Tampa, FL

NPI number 1194821074 Active

Practice location

4726 N Habana Ave, Suite 204
Tampa, FL 33614-7144

Fax (813) 873-9591

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH 2794 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1194821074

Richard Walter Fedora, LMHC's National Provider Identifier is 1194821074, issued on Sep 16, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on Jul 8, 2007.