Theresa Stanford LMHC

NPI 1215252374 - Counselor - 101YM0800X

NPI Details
NPI 1215252374
Gender Female
Enumeration Date 04/01/2010
Last Updated 04/01/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
4943 BEACH BLVD
JACKSONVILLE FL, 32207-4802, US
Phone (904) 396-9144
Fax
Business Location
712 MUSKOGEE LN
JACKSONVILLE FL, 32259-7961, US
Phone
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Florida
License Number MH3114
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According to our database, Mrs. Theresa Stanford LMHC NPI is 1215252374, taxonomy code is 101YM0800X and license number is MH3114, license state is located at Florida. Theresa Stanford LMHC physically located at 4943 Beach Blvd, Jacksonville FL, 32207-4802. NPI Number Theresa Stanford LMHC has the Individual type.

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1215252374 NPI number is provided on an as is basis without warranty of any kind. 1215252374 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Stanford LMHC are for informational purposes only.