Channing Gould-Sanderson, LMHC
Counselor, Mental Health in St Petersburg, FL. Individual provider (NPI-1).
NPI number1164024147
StatusActive
Last updated in NPPESNov 13, 2020
Details
- NPI
- 1164024147
- Entity type
- Individual (NPI-1)
- Name
- Channing Gould-Sanderson
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2020
- Certification date
- Nov 13, 2020
- Last updated
- Nov 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MH18573 | FL | Yes |
Practice location
514 39th Ave NeSt Petersburg, FL 33703-5918
Phone 727-458-8411
Mailing address
514 39th Ave NeSt Petersburg, FL 33703-5918
Phone 727-458-8411
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