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Organization
RAINA BURLAK PA
Active
Organization
RAINA BURLAK PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAINA RAINBOW BURLAK LMHC NCC (PRESIDENT)
(239) 821-9754
Entity
Organization
Contact information
Practice address
12553 NEW BRITTANY BLVD STE 32, FORT MYERS, FL 33907-3625
(239) 689-3079
(239) 313-6923
Mailing address
12553 NEW BRITTANY BOULEVARD, SUITE 32, FORT MYERS, FL 33907
(239) 689-3079
(239) 313-6923
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH14350
FL
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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