Most Relevant Information
Provider Data
| NPI Number: | 1003011545 |
| Provider Name: | GLORIA HANANIA LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MH7430 |
Most Important Dates
| Enumeration Date: | 06/15/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
390 PARK ST
JACKSONVILLE
FL
322042342
Practice Location Phone/Fax
| Phone: | 9048996300 |
| Fax: |
Provider Mailing Location
390 PARK ST
JACKSONVILLE
FL
322042342
Provider Mailing Phone/Fax
| Phone: | 9048996300 |
| Fax: |