Individual provider · Type 1 NPI

Latoy Mack

Mental Health Counselor · St. Petersburg, FL

NPI number 1962741140 Active

Practice location

2510 1st Ave S
St. Petersburg, FL 33712-1106

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH9624 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1962741140

Latoy Mack's National Provider Identifier is 1962741140, issued on Feb 7, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on Feb 7, 2013.