Individual
MS. CAROL JAYNE KATLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
940 E CYPRESS CREEK RD, FORT LAUDERDALE, FL 33334
(954) 937-7007
Mailing address
2955 NW 126TH AVE, UNIT 302, SUNRISE, FL 33323
(954) 937-7007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH4317
FL
101YM0800X
Mental Health Counselor
MH0004317
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z062R
BLUE CROSS PROVIDER NUMBE
FL
Enumeration date
07/09/2006
Last updated
10/13/2020
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