Provider Demographics
NPI:1669523122
Name:KITNER, NAOMI SUE (MS, LMHC)
Entity type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:SUE
Last Name:KITNER
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2954 COTTAGE GROVE CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-4308
Mailing Address - Country:US
Mailing Address - Phone:407-282-5365
Mailing Address - Fax:
Practice Address - Street 1:1417 N SEMORAN BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-3555
Practice Address - Country:US
Practice Address - Phone:407-380-3607
Practice Address - Fax:407-282-0552
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3855101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health