Individual
CAROLINE H. FENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., P.A.
Contact information
Practice address
25400 US HIGHWAY 19 N, SUITE 172, CLEARWATER, FL 33763-2149
(727) 797-7211
(727) 797-7211
Mailing address
25400 US HIGHWAY 19 N, SUITE 172, CLEARWATER, FL 33763-2149
(727) 797-7211
(727) 797-7211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH0000308
FL
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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