Individual
ELIZABETH S KIEBZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CAP
Contact information
Practice address
5122 GULFPORT BLVD S, GULFPORT, FL 33707-4922
(727) 322-6149
Mailing address
925 FREEMONT ST S, GULFPORT, FL 33707-2446
(727) 424-5323
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3017
FL
101YM0800X
Mental Health Counselor
SW7488
FL
Other
Enumeration date
11/01/2006
Last updated
09/11/2025
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