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Individual

KALENE NOELLE REIDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5768 S SEMORAN BLVD, ORLANDO, FL 32822-4818
(407) 896-2323
Mailing address
1015 LAUGHING GULL DR, SATELLITE BEACH, FL 32937-5539
(570) 412-2682

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61283691
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CMHP.0100133
CMHP
FL
Enumeration date
04/05/2022
Last updated
09/26/2025
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