Individual
MRS. MICHELE KOKKINOS STOUMBELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3271 TIGER HOLE RD, JACKSONVILLE, FL 32216-5859
(904) 730-3722
(904) 443-6264
Mailing address
4947 WHITE BLUFF DR, JACKSONVILLE, FL 32225-1115
(904) 998-0544
(904) 443-6264
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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