Individual
KIMBERLY MARIE AMAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 ADELA ST, SAINT AUGUSTINE, FL 32086-8856
(904) 217-7161
Mailing address
101 ADELA ST, SAINT AUGUSTINE, FL 32086-8856
(904) 217-7161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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