Individual
CHELSEA BREANNE VANDERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COUNSELOR INTERN
Contact information
Practice address
4400 E HIGHWAY 20 STE 306, NICEVILLE, FL 32578-7703
(850) 897-7810
(850) 897-0032
Mailing address
4400 E HIGHWAY 20 STE 306, NICEVILLE, FL 32578-7703
(850) 897-7810
(850) 897-0032
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IMH16920
FL
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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