Individual
CAROLYN MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
6400 54TH AVE N, ST PETERSBURG, FL 33709-1602
(727) 547-7508
Mailing address
3697 27TH AVE S, ST PETERSBURG, FL 33711-3502
(727) 804-3100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH4945
FL
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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