Individual
MS. CHANDA PETIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W BRANDON BLVD STE 204, BRANDON, FL 33511-5100
(727) 346-8350
Mailing address
PO BOX 273493, TAMPA, FL 33688-3493
(727) 346-8350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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