Petrona Fantella Anderson Valid NPI
Individual provider · Professional Counselor · Apo, AP
- NPI
- 1528577640
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- LPC009066 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2017-09-20
- Last updated
- 2024-05-05
Practice location
Unit 15245
Apo, AP 96271-5245
(315) 737-5677