Fabian, Carolina

Fabian, Carolina is an individual health care provider with primary practice located at 2789 Ortiz Ave , Fort Myers FL 33905-7806. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Fabian, Carolina can be contacted via phone (239) 275-3222.

Contact Information

Primary practice address
2789 Ortiz Ave Fort Myers FL 33905-7806
Phone: (239) 275-3222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1588091342
LBN Legal business name Fabian, Carolina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2013
Last updated Jun 27th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588091342 NPPES
Florida Other F150-100-79-911-0 DRIVER'S LICENSE

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