Individual provider · Type 1 NPI
Kathleen Harriet Wakefield, LMHC
Mental Health Counselor · Shalimar, FL
NPI number
1386736296
Active
Practice location
125 Poquito Rd
Shalimar, FL 32579-1126
Fax (850) 651-4292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH5306 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1386736296
Kathleen Harriet Wakefield, LMHC's National Provider Identifier is 1386736296, issued on Sep 28, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shalimar, FL. The record was last updated on Jul 8, 2007.