Carolan, Kristin

Carolan, Kristin is an individual health care provider with primary practice located at 5867 Whitaker Rd , Naples FL 34112-2963. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Carolan, Kristin can be contacted via phone (239) 774-2904.

Contact Information

Primary practice address
5867 Whitaker Rd Naples FL 34112-2963
Phone: (239) 774-2904
Fax: (239) 774-1438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMT1453 Florida

Profile Details

NPI number 1093110033
LBN Legal business name Carolan, Kristin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2014
Last updated Nov 4th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093110033 NPPES
Florida MEDICAID 000944600

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