Individual
KATHERINE MAE EFSTRATION WINHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2380 3RD ST S, SUITE 2, JACKSONVILLE BEACH, FL 32250-4072
(902) 662-6130
Mailing address
111 ABALONE LN W, PONTE VEDRA BEACH, FL 32082-2401
(770) 307-7707
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 2819
FL
Other
Enumeration date
01/07/2014
Last updated
10/10/2014
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