Individual
CHRISTINA MICHELLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1009 MAITLAND CENTER COMMONS BLVD STE 212, MAITLAND, FL 32751-7270
(813) 712-9629
Mailing address
8201 N OLA AVE, TAMPA, FL 33604-2925
(813) 712-9629
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT 2561
FL
Other
Enumeration date
10/28/2016
Last updated
10/31/2016
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