Individual
KRISTIN CAROLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5867 WHITAKER RD, NAPLES, FL 34112-2963
(239) 774-2904
(239) 774-1438
Mailing address
5867 WHITAKER RD, NAPLES, FL 34112-2963
(239) 774-2904
(239) 774-1438
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT1453
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000944600
—
FL
Enumeration date
11/04/2014
Last updated
11/04/2014
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