Individual
ANSHENECKA L LATORELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4553 WATKINS ST, PACE, FL 32571-2511
(850) 800-2770
Mailing address
4553 WATKINS ST, PACE, FL 32571-2511
(850) 800-2770
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
FL
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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