Individual
MS. CHRISTINA GAUDIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
86144 REMSENBURG DR, FERNANDINA BEACH, FL 32034-8118
(904) 390-7402
Mailing address
86144 REMSENBURG DR, FERNANDINA BEACH, FL 32034-8118
(904) 390-7402
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
IMH 7934
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH11348
FL
101YM0800X
Mental Health Counselor
MH11348
FL
101YP2500X
Professional Counselor
Primary
MH11348
FL
Other
Enumeration date
11/29/2010
Last updated
04/15/2022
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