Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | MH7961 | FL |
NPI | 1003105909 |
---|---|
Provider Name | Yvette Culver-Owens |
First Address | Jacksonville, FL 32216-6282 |
Second Address | Jacksonville, FL 32216-6282 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2011 |
Last Update Date | 11/07/2013 |