Organization
KATHLEEN CAZENAVETTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KATHLEEN HENSLEY LMHC (MENTAL HEALTH THERAPIST)
(850) 226-7100
Entity
Organization
Contact information
Practice address
137 CRYSTAL BEACH DR STE 137-C, DESTIN, FL 32541
(850) 226-7100
Mailing address
4507 FURLING LN STE 212, DESTIN, FL 32541-5343
(850) 226-7100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH14574
FL
Other
Enumeration date
11/18/2016
Last updated
08/09/2018
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