Individual
AMBER KHYRA JAMISEN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, ATR, EMDR
Contact information
Practice address
2123 RENAISSANCE BLVD APT 208, MIRAMAR, FL 33025-5689
(850) 766-2628
Mailing address
2123 RENAISSANCE BLVD APT 208, MIRAMAR, FL 33025-5689
(850) 766-2628
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH15792
FL
101YM0800X
Mental Health Counselor
MH15792
FL
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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