Individual
CHANNING GOULD-SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
514 39TH AVE NE, ST PETERSBURG, FL 33703-5918
(727) 458-8411
Mailing address
514 39TH AVE NE, ST PETERSBURG, FL 33703-5918
(727) 458-8411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH18573
FL
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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