Clerge, Kanilina

Clerge, Kanilina is an sole proprietor health care provider with primary practice located at 867 W Bloomingdale Ave # 6971 , Brandon FL 33511-7701. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Clerge, Kanilina can be contacted via phone (863) 313-0340.

Contact Information

Primary practice address
867 W Bloomingdale Ave # 6971 Brandon FL 33511-7701
Phone: (863) 313-0340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT4165 Florida

Profile Details

NPI number 1922354059
LBN Legal business name Clerge, Kanilina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2012
Last updated Jun 30th, 2022 - about 2 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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