Individual
MS. PAMELA WILLIAMS PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.M.H.C.
Contact information
Practice address
2204 BREVARD AVE, FORT MYERS, FL 33901-3518
(239) 574-4387
Mailing address
PO BOX 152405, CAPE CORAL, FL 33915-2405
(239) 574-4387
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH10843
FL
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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