MATTHEW WINTHROP GAUNTLETT

JACKSONVILLE, FL
NPI1346512522
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH11076)
Enumeration Date2012-02-02
Last Update Date2013-11-07
Business Address
-- MATTHEW WINTHROP GAUNTLETT LMHC
6266 DUPONT STATION CT E UFJAX - DEPT. OF PSYCHIATRY
JACKSONVILLE, FL 32217-2567
Phone number: 904-383-1038
Mailing Address
-- MATTHEW WINTHROP GAUNTLETT LMHC
PO BOX 44008 UFJP - PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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