Walter Wade Botkin III, LMHC
Counselor, Mental Health in Sarasota, FL. Individual provider (NPI-1).
NPI number1114188554
StatusActive
Last updated in NPPESMay 18, 2016
Details
- NPI
- 1114188554
- Entity type
- Individual (NPI-1)
- Name
- Mr. Walter Wade Botkin III
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2008
- Last updated
- May 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MH9485 | FL | Yes |
Practice location
2650 Bahia Vista StSuite 106
Sarasota, FL 34239-2635
Phone 941-812-5321
Mailing address
2650 Bahia Vista StSuite 106
Sarasota, FL 34239-2635
Phone 941-812-5321
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