Individual
MS. SARALEE HOPE FACKELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Contact information
Practice address
1206 MITCHELL ST, BRANDON, FL 33511-4908
(813) 662-4213
(813) 620-4900
Mailing address
1206 MITCHELL ST, BRANDON, FL 33511-4908
(813) 662-4213
(813) 620-4900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8688
FL
Other
Enumeration date
01/02/2010
Last updated
01/02/2010
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