Individual
LATOYA D DUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, QMHP
Contact information
Practice address
11815 FOUNTAIN WAY STE 300 #7734, NEWPORT NEWS, VA 23606-4448
(334) 718-7425
Mailing address
11815 FOUNTAIN WAY STE 300 #7734, NEWPORT NEWS, VA 23606-4448
(334) 718-7425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0732006749
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92-0807150
—
VA
Enumeration date
11/11/2022
Last updated
12/04/2022
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