Provider Demographics
NPI:1194335638
Name:KAUFMAN, AITERIA (LMHC)
Entity type:Individual
Prefix:MRS
First Name:AITERIA
Middle Name:
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6625 ARGYLE FOREST BLVD STE 1035
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-6670
Mailing Address - Country:US
Mailing Address - Phone:904-840-9088
Mailing Address - Fax:
Practice Address - Street 1:6625 ARGYLE FOREST BLVD STE 1035
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-6670
Practice Address - Country:US
Practice Address - Phone:904-840-9088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-07
Last Update Date:2024-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X
FLMH24363101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health