Individual
CRISTINA CHINCHILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7643 GATE PKWY # 104-1034, JACKSONVILLE, FL 32256-3092
(904) 649-2665
Mailing address
7643 GATE PKWY # 104-1034, JACKSONVILLE, FL 32256-3092
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
09/24/2021
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