Individual
AQUINETTA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3856 14TH AVE S, SAINT PETERSBURG, FL 33711-2531
(727) 712-7692
Mailing address
3856 14TH AVE S, SAINT PETERSBURG, FL 33711-2531
(727) 712-7692
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH21062
FL
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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