Individual
MS. LATRICE WINSTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
230 S CRATER RD, PETERSBURG, VA 23803-4424
(804) 733-2180
Mailing address
PO BOX 13293, RICHMOND, VA 23225-0293
(804) 301-0618
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003562
VA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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