Individual
MS. KATHERINE LOUISE LYCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
4595 LEXINGTON AVE, JACKSONVILLE, FL 32210-2058
(904) 448-4700
Mailing address
4595 LEXINGTON AVE, JACKSONVILLE, FL 32210-2058
(904) 448-4700
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
FL
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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