Individual
MS. AMANDA JEAN PELLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
2801 E LAKE RD, PALM HARBOR, FL 34685-1813
(727) 784-9250
Mailing address
4979 BARCLAY DR APT 106, PALM HARBOR, FL 34685-4163
(727) 643-2615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9007
FL
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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