Individual provider · Type 1 NPI

Walter Wade Botkin Iii, LMHC

Mental Health Counselor · Sarasota, FL

NPI number 1114188554 Active

Practice location

2650 Bahia Vista St, Suite 106
Sarasota, FL 34239-2635

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH9485 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1114188554

Walter Wade Botkin Iii, LMHC's National Provider Identifier is 1114188554, issued on Jun 18, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sarasota, FL. The record was last updated on May 18, 2016.