Individual
MRS. KIM CARTER WINOKUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,IMH
Contact information
Practice address
136 JULIA ST UNIT 100, NEW SMYRNA BEACH, FL 32168-7713
(386) 423-9161
(386) 423-3094
Mailing address
136 JULIA ST, NEW SMYRNA BEACH, FL 32168-7713
(386) 423-9161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH 11593
FL
101YP2500X
Professional Counselor
Primary
13644
FL
101YP2500X
Professional Counselor
IMH 11593
FL
Other
Enumeration date
03/12/2014
Last updated
12/31/2020
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