person
Mr. Phillip Edward Van Kleeck, MA
Mental Health Counselor in Avon Park, Florida
NPI 1093990061

Phillip Edward Van Kleeck is a Mental Health Counselor based in Avon Park, FL and is specialized in Mental Health. Phillip Edward Van Kleeck practices in Avon Park, FL and has the professional credentials of MA. The NPI Number for Phillip Edward Van Kleeck is 1093990061 and holds a License No. MH 9545 (Florida).

The current practice location address for Phillip Edward Van Kleeck is 2523 Us Highway 27 S, Avon Park, FL and can be reached out via phone at 863-991-5209.

Location: 2523 Us Highway 27 S, Avon Park, FL, 33825-9690
person
Provider Profile Details
NPI Number
1093990061
Provider Name
Phillip Edward Van Kleeck
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
2523 Us Highway 27 S, Avon Park, FL, 33825-9690
Phone Number
863-991-5209
Fax Number
Provider Enumeration Date
01/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1093990016 05 FL
institution
Provider Business Practice Location Address Details
Address
2523 Us Highway 27 S
City
State
Zip
33825-9690
Phone Number
863-991-5209
Fax Number
person
Provider Business Mailing Address Details
Address
2523 Us Highway 27 S
City
State
Zip
33825-9690
Phone Number
863-991-5209
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH 9545 (Florida)
Definition
Definition to come...
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