MEDICARE: MRS. KATHRYN SPENCER POST LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH16313	FL

General Provider Information

NPI Number	:	1942782925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHRYN SPENCER POST LMHC

Provider Business Mailing Address
First Line	:	3955 RIVERSIDE AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32205-3312
Country	:	US
Telephone Number	:	904-717-5445
Fax Number	:

Provider Business Practice Location Address
First Line	:	3955 RIVERSIDE AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32205-3312
Country	:	US
Telephone Number	:	904-717-5445
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2018
Last Update Date	:	06/06/2019

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