Provider Demographics
NPI:1508991498
Name:KESSLER, IRENE CEIL (MH002772)
Entity Type:Individual
Prefix:MS
First Name:IRENE
Middle Name:CEIL
Last Name:KESSLER
Suffix:
Gender:F
Credentials:MH002772
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6294 VIA PALLADIUM
Mailing Address - Street 2:STE. 310
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3846
Mailing Address - Country:US
Mailing Address - Phone:561-395-8768
Mailing Address - Fax:
Practice Address - Street 1:1355 W PALMETTO PARK RD
Practice Address - Street 2:STE. 310
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-3330
Practice Address - Country:US
Practice Address - Phone:561-213-5034
Practice Address - Fax:561-391-5447
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH0002772101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health