Individual
KEVIN WERNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
11850 CROSS VINE DR, RIVERVIEW, FL 33579-4300
(813) 679-0548
Mailing address
11850 CROSS VINE DR, RIVERVIEW, FL 33579-4300
(813) 679-0548
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH15724
FL
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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