Individual provider · Type 1 NPI

Laticia Grenada

Mental Health Counselor · Bronx, NY

NPI number 1043974561 Active

Practice location

3033 Godwin Ter Apt 4C
Bronx, NY 10463-5344

Call (646) 204-2295 Map

Mailing address

PO Box 940165
Rockaway Park, NY 11694-0165

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1043974561

Laticia Grenada's National Provider Identifier is 1043974561, issued on Oct 30, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bronx, NY. The record was last updated on Oct 30, 2021.