Individual
MRS. B. SUE CASTERLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
206 PARK PLACE BLVD, KISSIMMEE, FL 34741-2344
(407) 846-0023
(407) 483-1064
Mailing address
206 PARK PLACE BLVD, KISSIMMEE, FL 34741-2344
(407) 846-0023
(407) 483-1064
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 5094
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IN PROCESS
—
FL
01
—
Z088K
BCBS
FL
Enumeration date
01/03/2007
Last updated
07/08/2007
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