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Individual

LATRIVIA V MAYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ALC, NCC, CCMHC

Contact information

Practice address
2101 EXECUTIVE PARK DR STE 205, OPELIKA, AL 36801-6041
(334) 991-0653
Mailing address
870 ZELLARS CT, AUBURN, AL 36832-3665
(334) 552-1153

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2862A
AL

Other

Enumeration date
04/08/2019
Last updated
04/08/2019
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