Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | FL |
NPI | 1336519180 |
---|---|
Provider Name | Christine Newton |
First Address | Winter Park, FL 32792-5533 |
Second Address | Gainesville, FL 32601-5343 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2015 |
Last Update Date | 05/10/2015 |