Individual
CHRISTINA TANNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2040 NW 11TH RD, GAINESVILLE, FL 32605-5205
(352) 275-1995
Mailing address
3190 RADIO RD, GAINESVILLE, FL 32611-2662
(352) 275-1995
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 10266
FL
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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