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Individual

MS. KATE GEIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.A.,CAP

Contact information

Practice address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
(239) 791-1527
Mailing address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
(239) 791-1527

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
5351
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5351
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G230171749301
CAP ID #5351
FL
Enumeration date
07/11/2012
Last updated
07/11/2012
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