Individual
MISS CAITLIN VIJAYANAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LMFT
Contact information
Practice address
2901 W SWANN AVE, TAMPA, FL 33609-4056
(813) 458-6281
Mailing address
4953 W BAY WAY DR, TAMPA, FL 33629-4803
(813) 458-6281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH15696
FL
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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