Individual
LATRINA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC
Contact information
Practice address
560 COLONIAL RD STE 201, MEMPHIS, TN 38117-4097
(901) 930-7397
Mailing address
5748 JASON CV, OLIVE BRANCH, MS 38654-6953
(901) 201-2999
(662) 874-5793
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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