Individual
ALICIA JAYNE BERNAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1009 MAITLAND CENTER COMMONS BLVD, SUITE 212, MAITLAND, FL 32751-7270
(423) 967-3927
Mailing address
5464 E MICHIGAN ST APT 5, ORLANDO, FL 32812-7827
(423) 967-3927
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 2975
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143153
—
FL
Enumeration date
07/26/2012
Last updated
04/22/2015
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