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Kaitlyn Boesenberg
Mental Health Counselor in Fort Myers, Florida
NPI 1609652395

Kaitlyn Boesenberg is a Mental Health Counselor based in Fort Myers, FL and is specialized in Mental Health. Kaitlyn Boesenberg practices in Fort Myers, FL. The NPI Number for Kaitlyn Boesenberg is 1609652395 and holds a License No. IMH21621 (Florida).

The current practice location address for Kaitlyn Boesenberg is 17595 S Tamiami Trl Ste 265C, Fort Myers, FL and can be reached out via phone at 904-712-9393.

Location: 17595 S Tamiami Trl Ste 265C, Fort Myers, FL, 33908-4884
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609652395
Provider Name
Kaitlyn Boesenberg
Credential
Provider Entity Type
Individual
Gender
Female
Address
17595 S Tamiami Trl Ste 265C, Fort Myers, FL, 33908-4884
Phone Number
904-712-9393
Fax Number
Provider Enumeration Date
09/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17595 S Tamiami Trl Ste 265C
City
Fort Myers
State
Florida
Zip
33908-4884
Phone Number
904-712-9393
Fax Number
person
Provider Business Mailing Address Details
Address
17595 S Tamiami Trl Ste 265C
City
Fort Myers
State
Florida
Zip
33908-4884
Phone Number
904-712-9393
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMH21621 (Florida)
Definition
Definition to come...
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