| Amanda Maria Larson, | |
|
3292 County Road 220, Middleburg, FL 32068-4357 | |
| (904) 291-5561 | |
| (904) 291-5575 |
| Full Name | Amanda Maria Larson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 3292 County Road 220, Middleburg, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114568912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH17383 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Maria Larson, 1726 Kingsley Ave Ste 2, Orange Park, FL 32073-4411 Ph: () - | Amanda Maria Larson, 3292 County Road 220, Middleburg, FL 32068-4357 Ph: (904) 291-5561 |
Marilyn A Jones, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 | |
Mr. David W Westcott, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5575 | |
Mrs. Tabatha Melcolm, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 4110 Osceola Trl, Middleburg, FL 32068 Phone: 904-502-9883 Fax: 904-490-9037 | |
Briana Little, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3102 Carlotta Rd, Middleburg, FL 32068 Phone: 904-864-5165 | |
Clanailya Henry, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5575 | |
Michelle Nicole Fiallo, LMHC, CCTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-728-2578 | |
Yolanda Planas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 |