Individual
TABITHA BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, NCC
Contact information
Practice address
27 GOLF TERRACE DR APT 211, WINTER SPRINGS, FL 32708-5725
(904) 314-9740
Mailing address
27 GOLF TERRACE DR APT 211, WINTER SPRINGS, FL 32708-5725
(904) 314-9740
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MT3478
FL
106H00000X
Marriage & Family Therapist
Primary
MT3478
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982188140
—
FL
Enumeration date
09/23/2018
Last updated
10/08/2018
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