Individual provider · Type 1 NPI
Bridget Modica
Counselor · Fort Myers, FL
NPI number
1467584458
Active
Practice location
8681 Wesleyan Dr, Apt. 6-19
Fort Myers, FL 33919-5260
Fax (239) 236-3597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1467584458
Bridget Modica's National Provider Identifier is 1467584458, issued on Mar 12, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fort Myers, FL. The record was last updated on Jul 8, 2007.