Individual
MISS CONANGELA LATANYA SENIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
37 WATER ST STE 1, WAKEFIELD, MA 01880-3044
(781) 851-2648
(781) 851-2699
Mailing address
13305 W DUTCH AVE, MOUNDRIDGE, KS 67107-8094
(316) 212-1959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/12/2025
Last updated
07/12/2025
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