Individual
LETARA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4306 COUNTY ROAD 7714, TROY, AL 36081-8619
(334) 312-7393
Mailing address
4306 COUNTY ROAD, TROY, AL 36081
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC05149
AL
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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