Individual provider · Type 1 NPI

Rolanda Denise Petty

Addiction (Substance Use Disorder) Counselor · Jacksonville, FL

NPI number 1861970089 Active

Practice location

4427 Emerson St Ste 4
Jacksonville, FL 32207-4960

Call (904) 398-7015 Map

Fax (904) 346-0837

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1861970089

Rolanda Denise Petty's National Provider Identifier is 1861970089, issued on Jul 31, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 31, 2018.