Individual
MRS. KATHLEEN DANTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12735 GRAN BAY PKWY W, JACKSONVILLE, FL 32258-4492
(888) 754-0398
Mailing address
54 PATHWAY CT, SAINT JOHNS, FL 32259-6322
(904) 770-9937
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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