Individual
CAROLINE COULTER FAIFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5042 NIGHT STAR TRL, ODESSA, FL 33556-4575
(203) 414-1854
Mailing address
5042 NIGHT STAR TRL, ODESSA, FL 33556-4575
(203) 414-1854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH18342
FL
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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