| Kris Fitzgerald, Lmhc, Pllc | |
|
116 Brookshire Dr Lake Wales FL 33898-7601 | |
| (863) 241-2785 | |
| Not Available |
| Full Name | Kris Fitzgerald, Lmhc, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 116 Brookshire Dr, Lake Wales, Florida |
| Authorized Official Name and Position | Kristen T Fitzgerald (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8632412785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kris Fitzgerald, Lmhc, Pllc Po Box 3657 Lake Wales FL 33859-3657 Ph: (863) 241-2785 | Kris Fitzgerald, Lmhc, Pllc 116 Brookshire Dr Lake Wales FL 33898-7601 Ph: (863) 241-2785 |
| NPI Number | 1205299161 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 03/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205299161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH 13651 (Florida) | Primary |
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