Raymond, Katherine

Raymond, Katherine is an individual health care provider with primary practice located at 38 Lindy Loop , Port Orange FL 32128-6718. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Raymond, Katherine can be contacted via phone (561) 284-5426.

Contact Information

Primary practice address
38 Lindy Loop Port Orange FL 32128-6718
Phone: (561) 284-5426
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MH 11213 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 11213 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MH 11213 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X MH11213 Florida

Profile Details

NPI number 1184874240
LBN Legal business name Raymond, Katherine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2008
Last updated Feb 21st, 2014 - about 10 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 1184874240 NPPES
Florida MEDICAID 007272100

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