Individual
JAMES NEAL KOCHENBURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
3125 BRUTON BLVD, ORLANDO, FL 32805-6608
(407) 670-8289
Mailing address
2213 ONTARIO WAY, LAKELAND, FL 33805-9632
(407) 670-8289
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
3576
FL
Other
Enumeration date
03/16/2019
Last updated
03/16/2019
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