Organization
KIM CARTER WINOKUR, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM CARTER WINOKUR PA (PRESIDENT)
(389) 689-8776
Entity
Organization
Contact information
Practice address
136 JULIA ST UNIT 100, NEW SMYRNA BEACH, FL 32168-7713
(389) 689-8776
Mailing address
136 JULIA ST UNIT 100, NEW SMYRNA BEACH, FL 32168-7713
(389) 423-9161
(386) 423-3094
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/05/2019
Last updated
12/31/2020
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