Individual
ANITRA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13240 SATIN LILY DR, RIVERVIEW, FL 33579
(770) 826-6472
Mailing address
6421 N FLORIDA AVE # D-504, TAMPA, FL 33604-6007
(770) 826-6472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC007431
GA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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