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Individual
MISS LATOYA RENEE' BRAXTON
Active
Individual
MISS LATOYA RENEE' BRAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, ED.S,IMF,PCCI
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PCCI2772
CA
106H00000X
Marriage & Family Therapist
IMF83180
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IMF83180
CA
Other
Enumeration date
01/02/2015
Last updated
03/20/2018
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