Individual provider · Type 1 NPI

Deitra Latrice Fant, MA, NCC, LCPC, LPC

Professional Counselor · Oxon Hill, MD

NPI number 1699131896 Active

Practice location

120 Waterfront St Ste 420
Oxon Hill, MD 20745-1122

Fax (571) 601-4607

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Professional Counselor 101YP2500XPRC15297 (DC)
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed
Professional Counselor Primary 101YP2500XLC10267 (MD)
Professional Counselor 101YP2500X0701009874 (VA)
Community/Behavioral Health Agency 251S00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Professional Counselor 101YP2500X08861 (LA)
Mental Health Counselor 101YM0800XLC10267 (MD)

Professional Counselor: Definition to come...

8 other providers at this address

Other professional counselor providers in Oxon Hill

See all in Oxon Hill →

About NPI 1699131896

Deitra Latrice Fant, MA, NCC, LCPC, LPC's National Provider Identifier is 1699131896, issued on Jan 5, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oxon Hill, MD. The record was last updated on Sep 29, 2026.