Individual provider · Type 1 NPI

Latisha Louise Fontana, M.ED. L.P.C.

Mental Health Counselor · Grover, MO

NPI number 1902901770 Active

Practice location

2646 Highway 109, Suite 200
Grover, MO 63040-1162

Fax (636) 458-0002

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCS001907 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1902901770

Latisha Louise Fontana, M.ED. L.P.C.'s National Provider Identifier is 1902901770, issued on Sep 14, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grover, MO. The record was last updated on Jul 8, 2007.