Individual
MRS. LATONIA MICHELLE AMBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LMHC
Contact information
Practice address
7901 4TH ST N, ST PETERSBURG, FL 33702-4305
(850) 361-8421
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(850) 361-8421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH21748
FL
101YP2500X
Professional Counselor
Primary
20537
CA
101YP2500X
Professional Counselor
MH21748
FL
Other
Enumeration date
01/18/2011
Last updated
03/05/2026
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