Individual
HALEY LATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 GRISTMILL DR, FOREST, VA 24551-2627
(434) 202-4080
Mailing address
301 GRISTMILL DR, FOREST, VA 24551-2627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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