Individual
CAITLYN MCKINZIE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LMHC, LMFT, L
Contact information
Practice address
3023 HARRISON AVE, ORLANDO, FL 32804-3731
(850) 625-1026
Mailing address
3023 HARRISON AVE, ORLANDO, FL 32804-3731
(850) 625-1026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15032
FL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
4120
FL
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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