Individual
AUDREY W KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, TCM, MMHC, CCC
Contact information
Practice address
2140 KINGSLEY AVE STE 2, ORANGE PARK, FL 32073-5129
(904) 579-3515
Mailing address
900 TREE STAND CT, JACKSONVILLE, FL 32234-3068
(904) 626-0115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
06/03/2023
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