Individual
MRS. KRISTINA MARIE HUTCHINSON MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
(239) 791-1586
Mailing address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 791-1586
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005031
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC005031
GEORIGA LICENSE
GA
Enumeration date
11/29/2007
Last updated
01/31/2014
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