Individual
CAITLIN LAURENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1543 KINGSLEY AVE STE 18A, ORANGE PARK, FL 32073-4568
(904) 269-3324
(904) 264-2302
Mailing address
1543 KINGSLEY AVE STE 18A, ORANGE PARK, FL 32073-4568
(904) 269-3324
(904) 264-2302
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH19603
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH19603
LICENSE
FL
Enumeration date
08/23/2021
Last updated
08/23/2021
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