Provider Information for 1508155771
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LATISHA L MCCANTS LMHC, LIMHP, LMHC
Sex: Female
NPI: 1508155771
Last Updated: 2024-01-07
Certification Date: 2024-01-07
Certification Date: 2024-01-07
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1508155771 | ||||||||||||||||||||
| Enumeration Date | 2011-03-28 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 552 S CEDAR ST AVOCA, IA 51521-4044 United States Phone: 402-807-3969 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 552 S CEDAR ST AVOCA, IA 51521-4044 United States Phone: 402-968-2080 | Fax: | ||||||||||||||||||||
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