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

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone 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.