Individual
MRS. JEANETTE GOATES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
132 INDIAN HAMMOCK LN, PONTE VEDRA BEACH, FL 32082-2155
(904) 273-1278
(904) 285-5906
Mailing address
2344 3RD ST S, JACKSONVILLE BEACH, FL 32250-4023
(904) 273-1278
(904) 285-5906
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1963
FL
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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