Individual
KALEESHA BENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
15901 BASS RD STE 108, FORT MYERS, FL 33908
(239) 343-6050
(239) 343-6051
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6050
(239) 343-6051
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3477
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102597200
—
FL
Enumeration date
09/28/2014
Last updated
08/18/2020
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