Individual provider · Type 1 NPI
Ian Jonas Keene Gerhard, LMHC
Mental Health Counselor · Wimauma, FL
NPI number
1629642145
Active
Practice location
10763 Standing Stone Dr
Wimauma, FL 33598-6164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH19065 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1629642145
Ian Jonas Keene Gerhard, LMHC's National Provider Identifier is 1629642145, issued on May 19, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wimauma, FL. The record was last updated on May 19, 2021.