Individual
AMANDA VICTORIA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4721 E MOODY BLVD STE 204, BUNNELL, FL 32110-7706
(386) 237-8837
Mailing address
4721 E MOODY BLVD STE 204, BUNNELL, FL 32110-7706
(386) 237-8837
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH15154
FL
Other
Enumeration date
12/11/2018
Last updated
09/15/2022
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