Individual provider · Type 1 NPI

Mark Welliver, LMHC

Mental Health Counselor · Fort Myers, FL

NPI number 1679902472 Active

Practice location

10140 Deer Run Farms Rd
Fort Myers, FL 33966-1045

Call (239) 791-1586 Map

Mailing address

3763 Evans Ave
Fort Myers, FL 33901-9302

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH11784 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1679902472

Mark Welliver, LMHC's National Provider Identifier is 1679902472, issued on Nov 2, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Myers, FL. The record was last updated on Nov 2, 2013.