Wakefield, Kathleen Harriet

Wakefield, Kathleen Harriet is an sole proprietor health care provider with primary practice located at 125 Poquito Rd , Shalimar FL 32579-1126. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wakefield, Kathleen Harriet can be contacted via phone (850) 240-2212.

Contact Information

Primary practice address
125 Poquito Rd Shalimar FL 32579-1126
Fax: (850) 651-4292
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH5306 Florida

Profile Details

NPI number 1386736296
LBN Legal business name Wakefield, Kathleen Harriet
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 17 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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