Individual
MRS. LATONJA KELLICIA AUTREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
307 S MCKENZIE ST, FOLEY, AL 36535-1929
(251) 202-3930
Mailing address
1098 CROWN WALK DR, FOLEY, AL 36535-7403
(251) 202-3930
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AL
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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