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Kathryn Mcnichol
Professional Counselor in Lakeland, Florida
NPI 1104383009

Kathryn Mcnichol is a Professional Counselor based in Lakeland, FL and is specialized in Professional. Kathryn Mcnichol practices in Lakeland, FL. The NPI Number for Kathryn Mcnichol is 1104383009 and holds a License No. MH11140 (Florida).

The current practice location address for Kathryn Mcnichol is 1074 S Florida Ave Ste 103, Lakeland, FL and can be reached out via phone at 863-397-3232.

Location: 1074 S Florida Ave Ste 103, Lakeland, FL, 33803-1102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104383009
Provider Name
Kathryn Mcnichol
Credential
Provider Entity Type
Individual
Gender
Female
Address
1074 S Florida Ave Ste 103, Lakeland, FL, 33803-1102
Phone Number
863-397-3232
Fax Number
Provider Enumeration Date
02/27/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH11140 01 FL LMHC
institution
Provider Business Practice Location Address Details
Address
1074 S Florida Ave Ste 103
City
Lakeland
State
Florida
Zip
33803-1102
Phone Number
863-397-3232
Fax Number
person
Provider Business Mailing Address Details
Address
1074 S Florida Ave Ste 103
City
Lakeland
State
Florida
Zip
33803-1102
Phone Number
863-397-3232
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
MH11140 (Florida)
Definition
Definition to come...
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