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Individual

LATEEFAH FAHEEMAH TAYLOR PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSAC

Contact information

Practice address
100 7TH ST STE 104, PORTSMOUTH, VA 23704-4800
(757) 606-9421
(757) 765-7073
Mailing address
158 GILLIS RD, PORTSMOUTH, VA 23702-3120
(757) 644-2804
(757) 765-7073

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103981
VA

Other

Enumeration date
12/17/2019
Last updated
06/06/2025
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