Individual
MRS. KRISTINA MARIA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED; LMFT
Contact information
Practice address
348 MIRACLE STRIP PARKWAY SUITE B-3, FORT WALTON BEACH, FL 32548
(850) 862-3772
(850) 863-4574
Mailing address
1414 HICKORY ST., NICEVILLE, FL 32578
(850) 598-1738
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
FL
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103563500
—
FL
Enumeration date
10/26/2016
Last updated
05/05/2021
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