Individual
LATONYA BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
220 MAGNOLIA AVE, EVERGREEN, AL 36401-3156
(251) 578-4545
Mailing address
PO BOX 964, MONROEVILLE, AL 36461-0964
(251) 575-4203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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