Individual
RAMYA AVADHANAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5776 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32207-8030
(904) 448-4700
Mailing address
6650 CORPORATE CENTER PKWY, APT. 1111, JACKSONVILLE, FL 32216-0988
(571) 334-6970
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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