Individual
MRS. FANETIA LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
557 GLOVER AVE STE 3, ENTERPRISE, AL 36330-2070
(334) 308-2292
Mailing address
18 OPPIE CT, NEW BROCKTON, AL 36351-5521
(334) 669-0753
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC04628
AL
Other
Enumeration date
12/06/2022
Last updated
11/01/2023
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