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Individual

LATISHA L MCCANTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC, LIMHP, LMHC

Contact information

Practice address
552 S CEDAR ST, AVOCA, IA 51521-4044
(402) 968-2080
Mailing address
552 S CEDAR ST, AVOCA, IA 51521-4044
(402) 807-3969

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001388
IA
101YM0800X
Mental Health Counselor
1669
NE
101YM0800X
Mental Health Counselor
4880
NE
101YM0800X
Mental Health Counselor

Other

Enumeration date
03/28/2011
Last updated
01/07/2024
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