Individual
CARLA PETREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 8TH AVE W STE 200, PALMETTO, FL 34221-5162
(941) 807-2670
Mailing address
9952 HYDE GLEN CT, CHARLOTTE, NC 28262-2659
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH15954
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811384381
—
NC
05
—
56-0554413
—
NC
Enumeration date
04/22/2015
Last updated
03/04/2021
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