| Antonia Carter, M.a., Lmhc, P.a. | |
|
623 Oak St Green Cove Springs FL 32043-4313 | |
| (904) 531-9752 | |
| (904) 531-5149 |
| Full Name | Antonia Carter, M.a., Lmhc, P.a. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 623 Oak St, Green Cove Springs, Florida |
| Authorized Official Name and Position | Antonia Carter (OWNER) |
| Authorized Official Contact | 9048640367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonia Carter, M.a., Lmhc, P.a. 623 Oak St Green Cove Springs FL 32043-4313 Ph: (904) 531-9752 | Antonia Carter, M.a., Lmhc, P.a. 623 Oak St Green Cove Springs FL 32043-4313 Ph: (904) 531-9752 |
| NPI Number | 1679938583 |
|---|---|
| Provider Enumeration Date | 12/18/2015 |
| Last Update Date | 12/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679938583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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