Provider Demographics
NPI:1891472932
Name:CAJIGAS, KENDRA (MA, RMHCI)
Entity Type:Individual
Prefix:MS
First Name:KENDRA
Middle Name:
Last Name:CAJIGAS
Suffix:
Gender:F
Credentials:MA, RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 BRIARWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-4319
Mailing Address - Country:US
Mailing Address - Phone:954-806-9977
Mailing Address - Fax:
Practice Address - Street 1:379 FENNELL BLVD
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-3185
Practice Address - Country:US
Practice Address - Phone:352-633-5253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-30
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL23848101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health