Individual
CHRISTINE GOTTSCHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-5249
(904) 745-0067
(904) 745-1030
Mailing address
1358 HOLLYHOCK CIR W, JACKSONVILLE, FL 32211-5220
(904) 445-1286
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
30-0290517
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013952700
—
FL
Enumeration date
11/15/2016
Last updated
11/15/2016
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