| Mr Peter Douglas Nordstrom, LMHC | |
|
114 St Clair Abrams Ave, Tavares, FL 32778 | |
| (352) 253-6300 | |
| (352) 343-7691 |
| Full Name | Mr Peter Douglas Nordstrom |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 114 St Clair Abrams Ave, Tavares, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033180849 | NPI | - | NPPES |
| Z003A | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH6961 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Peter Douglas Nordstrom, LMHC 4910 Abaco Dr, Tavares, FL 32778-4757 Ph: (352) 253-6300 | Mr Peter Douglas Nordstrom, LMHC 114 St Clair Abrams Ave, Tavares, FL 32778 Ph: (352) 253-6300 |
Mrs. Elsie H Bowman, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1799 Salk Ave, Tavares, FL 32778 Phone: 352-742-8300 | |
Lashawn Lewis Gill, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1707 Mayo Dr, Tavares, FL 32778 Phone: 352-600-0326 | |
Phyllis Wesley, M.S., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 N Saint Clair Abrams Ave, Tavares, FL 32778 Phone: 352-742-0069 Fax: 352-742-0755 | |
Deborah Jensen-short, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 2445 Lane Park Rd, Tavares, FL 32778 Phone: 407-304-2622 Fax: 407-583-6497 | |
Kelly Jennings, MH 21536 Counselor Medicare: Medicare Enrolled Practice Location: 858 S Duncan Dr, Tavares, FL 32778 Phone: 352-609-5103 | |
Mary L Tucker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 Banning Beach Rd, Tavares, FL 32778 Phone: 352-742-8020 |