Individual
CHRISTINA DORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
4595 LEXINGTON AVE, JACKSONVILLE, FL 32210-2058
(904) 448-4700
Mailing address
4595 LEXINGTON AVE, JACKSONVILLE, FL 32210-2058
(904) 448-4700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12707
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013906400
—
FL
Enumeration date
11/29/2011
Last updated
06/23/2015
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