Individual
MS. KIMBERLY CHARLOTTE HINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., ITDS
Contact information
Practice address
6230 EDISON ST, COCOA, FL 32927-8833
(321) 431-8345
Mailing address
398 BROOKCREST CIR, ROCKLEDGE, FL 32955-4749
(321) 986-7184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
222Q00000X
Developmental Therapist
—
FL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/17/2011
Last updated
06/21/2019
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