Latonya Marisa Penn, MS
Counselor, Mental Health in Dania, FL. Individual provider (NPI-1).
NPI number1376887828
StatusActive
Last updated in NPPESNov 22, 2012
Details
- NPI
- 1376887828
- Entity type
- Individual (NPI-1)
- Name
- Ms. Latonya Marisa Penn
- Credential
- MS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 22, 2012
- Last updated
- Nov 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | IMH10318 | FL | Yes |
Practice location
754 Sw 3rd StDania, FL 33004-4901
Phone 954-907-3444
Mailing address
754 Sw 3rd StDania, FL 33004-4901
Phone 954-907-3444
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