Individual
KATINA COMBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR OF SCIENCE
Contact information
Practice address
1239 E MAIN ST, BARTOW, FL 33830-5058
(863) 519-0575
Mailing address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 275-3222
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50467
CERTIFIED MENTAL HEALTH PROFESSIONAL
FL
Enumeration date
02/24/2015
Last updated
04/02/2019
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