Individual
MRS. LANITRA FAYE JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 HIGHLAND AVE S, BIRMINGHAM, AL 35205-2912
(205) 447-0585
Mailing address
1916 LIVE OAK TRCE, BIRMINGHAM, AL 35235-1876
(205) 876-7782
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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