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Provider Information for 1386703577


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CHRISTINE KADIN LMHC, CAP, CCTP


Sex: Female

NPI: 1386703577
Last Updated: 2022-01-24
Certification Date: 2022-01-24

Details

NameValue
NPI1386703577
Enumeration Date2006-12-06
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 337 NW TUSCANY WAY
PORT ST LUCIE, FL 34986-2151
United States

Phone: 772-333-1279 | Fax:
 
Primary Practice Address 759 SW FEDERAL HWY STE 215
STUART, FL 34994-2972
United States

Phone: 772-333-1279 | Fax:
 
Secondary Practice Address(es)

337 NW TUSCANY WAY
PORT ST LUCIE, FL 34986-2151
United States

Phone: 772-333-1279 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLMH-5461