Individual
AMBER PETTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
16023 MUIRFIELD DR, ODESSA, FL 33556-2861
(954) 661-6454
Mailing address
16023 MUIRFIELD DR, ODESSA, FL 33556-2861
(954) 661-6454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9884
FL
Other
Enumeration date
05/03/2007
Last updated
09/02/2022
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