Individual
CAROLYN MOLDOVANYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LMFT
Contact information
Practice address
2825 N 10TH ST STE A2, ST AUGUSTINE, FL 32084-1872
(904) 664-1999
(855) 486-2788
Mailing address
2825 N 10TH ST STE A2, SAINT AUGUSTINE, FL 32084-1872
(904) 664-1999
(855) 486-2788
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH6273
FL
106H00000X
Marriage & Family Therapist
Primary
MT2275
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764719100
—
FL
Enumeration date
12/20/2006
Last updated
08/11/2024
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