SAMUEL KOOLHOVEN-MOORE

SARASOTA, FL
NPI1720650286
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH18940)
Enumeration Date2021-07-14
Last Update Date2021-07-14
Business Address
Mr. SAMUEL KOOLHOVEN-MOORE
1750 17TH ST STE J2
SARASOTA, FL 34234-8690
Phone number: 941-552-2075
Mailing Address
Mr. SAMUEL KOOLHOVEN-MOORE
8429 CYPRESS LAKE CIR
SARASOTA, FL 34243-2915
Phone number: 707-703-0845