Individual provider · Type 1 NPI
Amber Shalise Wofford
Mental Health Counselor · Patrick Afb, FL
NPI number
1184495392
Active
Practice location
5476 Scrub Jay Run
Patrick Afb, FL 32925-2936
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Counselor | 101Y00000X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1184495392
Amber Shalise Wofford's National Provider Identifier is 1184495392, issued on Jan 16, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Patrick Afb, FL. The record was last updated on Jan 16, 2024.