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Raina Burlak Pa
Mental Health Counselor in Fort Myers, Florida
NPI 1356853311

Raina Burlak Pa is a Mental Health Counselor based in Fort Myers, FL and is specialized in Mental Health. Raina Burlak Pa practices in Fort Myers, FL. The NPI Number for Raina Burlak Pa is 1356853311 and holds a License No. MH14350 (Florida).

The current practice location address for Raina Burlak Pa is 12553 New Brittany Blvd Ste 32, Fort Myers, FL and can be reached out via phone at 239-689-3079 and via fax at 239-313-6923.

Location: 12553 New Brittany Blvd Ste 32, Fort Myers, FL, 33907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356853311
Provider Name
Raina Burlak Pa
Credential
Provider Entity Type
Organization
Address
12553 New Brittany Blvd Ste 32, Fort Myers, FL, 33907
Phone Number
239-689-3079
Fax Number
239-313-6923
Provider Enumeration Date
10/31/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12553 New Brittany Blvd Ste 32
City
Fort Myers
State
Florida
Zip
33907-3625
Phone Number
239-689-3079
Fax Number
239-313-6923
person
Provider Business Mailing Address Details
Address
12553 New Brittany Blvd Ste 32
City
Fort Myers
State
Florida
Zip
33907-3625
Phone Number
239-689-3079
Fax Number
239-313-6923
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH14350 (Florida)
Definition
Definition to come...
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