Individual
CALLIE JENNIFER NETTLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
300 S HYDE PARK AVE STE 120, TAMPA, FL 33606-4117
(813) 644-9659
Mailing address
1521 W COMANCHE AVE, TAMPA, FL 33603-1203
(813) 644-9659
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH14218
FL
Other
Enumeration date
01/14/2019
Last updated
10/07/2020
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