Individual
KATHARINE MELYSSA EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
12012 S SHORE BLVD STE 108, WELLINGTON, FL 33414-6397
(561) 424-7175
Mailing address
12012 S SHORE BLVD STE 108, WELLINGTON, FL 33414-6397
(561) 424-7175
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT1947
FL
106H00000X
Marriage & Family Therapist
MT3144
FL
Other
Enumeration date
11/02/2015
Last updated
07/21/2022
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