Doctor Name: | KIRA CAPANO |
NPI Number: | 1043553191 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRC, LPC |
License Number: | A9139 |
Business Practice Address: | 1105 Cultural Park Blvd Cape Coral, FL - 339901217 |
Business Phone Number: | 2397721211 |
Business Fax Number: | |
Mailing Address: | 3763 Evans Ave, FORT MYERS |
State: | FL |
Postal Code: | 339019302 |
Phone Number: | 2393326937 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2013 |
NPI Last Update Date: | 07/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | A9139 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |