Individual provider · Type 1 NPI
Loretta Michele Deloach
Mental Health Counselor · Bradenton, FL
NPI number
1316490147
Active
Practice location
515 27th St. S., Ste. 3
Bradenton, FL 34208
Mailing address
510 Oakhurst St
Brandon, FL 33511-7228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1316490147
Loretta Michele Deloach's National Provider Identifier is 1316490147, issued on Jul 28, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bradenton, FL. The record was last updated on Jul 28, 2016.