Individual
CAROL MARIE WATLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
238 N WESTMONTE DR STE 240, ALTAMONTE SPRINGS, FL 32714-3364
(407) 834-0942
(407) 834-0945
Mailing address
PO BOX 954, APOPKA, FL 32704-0954
(407) 834-0942
(407) 834-0945
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9938
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003785100
—
FL
Enumeration date
01/19/2010
Last updated
06/25/2020
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