Individual
ROLANDA DENISE PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4427 EMERSON ST STE 4, JACKSONVILLE, FL 32207-4960
(904) 398-7015
(904) 346-0837
Mailing address
4427 EMERSON ST STE 4, JACKSONVILLE, FL 32207-4960
(904) 398-7015
(904) 346-0837
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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