SAMANTHA ROSE KINKOPF

JACKSONVILLE, FL
NPI1235888082
Former NameSAMANTHA ROSE SHAFFER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  20499)
Enumeration Date2022-03-21
Last Update Date2024-05-03
Business Address
Mrs. SAMANTHA ROSE KINKOPF MA, LHMC (MH 20499)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256-6187
Phone number: 646-941-7645
Mailing Address
Mrs. SAMANTHA ROSE KINKOPF MA, LHMC (MH 20499)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256-6187
Phone number: 646-941-7645
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