Individual
BRENDA KLEPACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 N. MERIDIAN, # 403522, MIAMIA BEACH, FL 33140
(786) 277-6398
Mailing address
PO BOX 403522, MIAMI BEACH, FL 33140
(786) 277-6398
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH2530
FL
101YP2500X
Professional Counselor
—
FL
106H00000X
Marriage & Family Therapist
MT1386
FL
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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