THERESA STANFORD

JACKSONVILLE, FL
NPI1215252374
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: FL  MH3114)
Enumeration Date2010-04-01
Last Update Date2010-04-01
Business Address
MRS. THERESA STANFORD LMHC
4943 BEACH BLVD
JACKSONVILLE, FL 32207-4802
Phone number: 904-396-9144
Mailing Address
MRS. THERESA STANFORD LMHC
712 MUSKOGEE LN
JACKSONVILLE, FL 32259-7961
Phone number: