Provider Demographics
NPI:1558635847
Name:ANNEAR, JAMES W (LMHC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:W
Last Name:ANNEAR
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 WASHINGTON RD
Mailing Address - Street 2:#112
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-2366
Mailing Address - Country:US
Mailing Address - Phone:561-502-4131
Mailing Address - Fax:
Practice Address - Street 1:19940 MONA RD
Practice Address - Street 2:SUITE 3
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-2680
Practice Address - Country:US
Practice Address - Phone:561-502-4131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-04
Last Update Date:2012-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10291101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health