Individual
MRS. LATOYA RENEA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12093 GAYTON RD, HENRICO, VA 23238-3401
(804) 265-4857
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701012900
VA
Other
Enumeration date
02/07/2023
Last updated
09/21/2023
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