NPI 1528577640

Petrona Fantella Anderson

Practitioner Professional Counselor Apo, AP

Practice location

Address: Unit 15245, Apo, AP 96271-5245
Phone: (315) 737-5677
Mailing address: Psc 444 Box 2485, Apo, AP 96297-0025

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPC009066 (GA)

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Registry record

NPI: 1528577640
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2017
Record last updated: 5 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.