Kathleen Wakefield's National Provider Identifier (NPI) Details
Kathleen Wakefield, LMHC
NPI: 1386736296
Enumeration Date: 2006-09-28
Last updated: 2007-07-08
Sole Proprietor: YES
Status: active
Postal Address: 125 POQUITO RD, SHALIMAR, FL
Phone: 850-240-2212
Primary Practice Address: 125 POQUITO RD, SHALIMAR, FL
Practice's phone: 850-240-2212