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Individual
MISS LANETTE REGINA GIVENS
Active
Individual
MISS LANETTE REGINA GIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0733007019
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103711
VA
101YM0800X
Mental Health Counselor
0732005003
VA
221700000X
Art Therapist
PGP-0687265
VA
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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