Provider Demographics
NPI:1114649555
Name:GUALTIERI, JOANNA (LMHC)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:GUALTIERI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9990 COCONUT RD STE 207
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:34135-8656
Mailing Address - Country:US
Mailing Address - Phone:239-390-1209
Mailing Address - Fax:
Practice Address - Street 1:9990 COCONUT RD STE 207
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:34135-8656
Practice Address - Country:US
Practice Address - Phone:239-390-1209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-13
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health