Individual provider · Type 1 NPI

Matthew W. Ditslear, LMFT

Mental Health Counselor · Port Orange, FL

NPI number 1508538729 Active

Practice location

520 Sun Lake Dr
Port Orange, FL 32127-1129

Call (904) 536-0709 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2754 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1508538729

Matthew W. Ditslear, LMFT's National Provider Identifier is 1508538729, issued on Oct 5, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Orange, FL. The record was last updated on Oct 5, 2021.