Organization · Type 2 NPI
Raina Burlak PA
Mental Health Counselor · Fort Myers, FL
NPI number
1356853311
Active
Practice location
12553 New Brittany Blvd Ste 32
Fort Myers, FL 33907-3625
Fax (239) 313-6923
Mailing address
12553 New Brittany Boulevard, Suite 32
Fort Myers, FL 33907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH14350 (FL) |
Mental Health Counselor: Definition to come...
3 other providers at this address
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About NPI 1356853311
Raina Burlak PA's National Provider Identifier is 1356853311, issued on Oct 31, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Myers, FL. The record was last updated on Oct 31, 2017.