Individual provider · Type 1 NPI
Latrina Avant
Mental Health Counselor · Fort Valley, GA
NPI number
1902345408
Active
Practice location
164 Mahoney Lane
Fort Valley, GA 31030
Mailing address
164 Mahoney Ln
Fort Valley, GA 31030-9411
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 1902345408
Latrina Avant's National Provider Identifier is 1902345408, issued on Feb 16, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Valley, GA. The record was last updated on Feb 16, 2017.