Provider Demographics
NPI:1518615699
Name:KALTENBORN, CAROLINE (LPC-TEMP)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:KALTENBORN
Suffix:
Gender:F
Credentials:LPC-TEMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3763 N HIGH ST STE A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3547
Mailing Address - Country:US
Mailing Address - Phone:901-488-4987
Mailing Address - Fax:866-594-7023
Practice Address - Street 1:924 9TH CT
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-5109
Practice Address - Country:US
Practice Address - Phone:901-488-4987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health