Organization
KATHLEEN ANDERSON, LMHC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ANNE ANDERSON LMHC (OWNER)
(904) 327-7192
Entity
Organization
Contact information
Practice address
9140 GOLFSIDE DR, SUITE 12N, JACKSONVILLE, FL 32256-1881
(904) 638-9140
(904) 701-6249
Mailing address
9140 GOLFSIDE DR, SUITE 12N, JACKSONVILLE, FL 32256-1881
(904) 638-9140
(904) 701-6249
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH4062
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003958400
—
FL
Enumeration date
05/22/2014
Last updated
05/22/2014
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