Individual
MS. LATRICE SHONTA DAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2214 3RD AVE N, BIRMINGHAM, AL 35203-3822
(205) 612-7091
Mailing address
2214 3RD AVE N, BIRMINGHAM, AL 35203-3822
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC03928
AL
Other
Enumeration date
10/05/2018
Last updated
02/29/2024
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