Individual
TONYA UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
8800 49TH ST N STE 106, PINELLAS PARK, FL 33782-5332
(727) 544-0044
Mailing address
1175 PINELLAS POINT DR S APT 13, ST PETERSBURG, FL 33705-6000
(773) 469-1336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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