Individual provider · Type 1 NPI

Misty Lee Fenton, M.ED., LMHC

Mental Health Counselor · Tampa, FL

NPI number 1457622896 Active

Practice location

4100 W Kennedy Blvd, Suite 326
Tampa, FL 33609-2288

Fax (813) 288-6907

Mailing address

3218 W San Miguel St
Tampa, FL 33629-5949

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH 10818 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1457622896

Misty Lee Fenton, M.ED., LMHC's National Provider Identifier is 1457622896, issued on Jan 17, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on Jan 17, 2012.