Individual
LATISHA SHARNICE DAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 PATTERSON ST, ATMORE, AL 36502-1818
(251) 359-6459
Mailing address
150 PATTERSON ST, ATMORE, AL 36502-1818
(251) 359-6459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RES011238
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891385993
—
AL
Enumeration date
11/21/2022
Last updated
11/22/2022
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