person
Mr. Samuel Koolhoven-moore
Mental Health Counselor in Sarasota, Florida
NPI 1720650286

Samuel Koolhoven-moore is a Mental Health Counselor based in Sarasota, FL and is specialized in Mental Health. Samuel Koolhoven-moore practices in Sarasota, FL. The NPI Number for Samuel Koolhoven-moore is 1720650286 and holds a License No. MH18940 (Florida).

The current practice location address for Samuel Koolhoven-moore is 1750 17Th St Ste J2, Sarasota, FL and can be reached out via phone at 941-552-2075.

Location: 1750 17Th St Ste J2, Sarasota, FL, 34243-2915
person
Provider Profile Details
NPI Number
1720650286
Provider Name
Samuel Koolhoven-moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1750 17Th St Ste J2, Sarasota, FL, 34243-2915
Phone Number
941-552-2075
Fax Number
Provider Enumeration Date
07/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1750 17Th St Ste J2
City
State
Zip
34234-8690
Phone Number
941-552-2075
Fax Number
person
Provider Business Mailing Address Details
Address
1750 17Th St Ste J2
City
State
Zip
34234-8690
Phone Number
941-552-2075
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH18940 (Florida)
Definition
Definition to come...
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