Individual
MRS. ALINA MICHELLE KODATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7235 BONNEVAL RD STE 104, JACKSONVILLE, FL 32256-7506
(904) 592-6800
Mailing address
436 W 69TH ST, JACKSONVILLE, FL 32208-3808
(904) 524-4004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13518
FL
Other
Enumeration date
08/11/2011
Last updated
07/21/2022
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