person
Latavia Jo Nekol Harley
Professional Counselor in Florissant, Missouri
NPI 1770244741

Latavia Jo Nekol Harley is a Professional Counselor based in Saint Louis, MO and is specialized in Professional. Latavia Jo Nekol Harley practices in Florissant, MO. The NPI Number for Latavia Jo Nekol Harley is 1770244741 and holds a License No. (Missouri).

The current practice location address for Latavia Jo Nekol Harley is 1150 Graham Rd, Florissant, MO and can be reached out via phone at 314-308-9807.

Location: 1150 Graham Rd, Florissant, MO, 63103-2303
person
Provider Profile Details
NPI Number
1770244741
Provider Name
Latavia Jo Nekol Harley
Credential
Provider Entity Type
Individual
Gender
Female
Address
1150 Graham Rd, Florissant, MO, 63103-2303
Phone Number
314-308-9807
Fax Number
Provider Enumeration Date
01/03/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1150 Graham Rd
City
State
Zip
63031-8077
Phone Number
314-308-9807
Fax Number
person
Provider Business Mailing Address Details
Address
1150 Graham Rd
City
State
Zip
63031-8077
Phone Number
314-308-9807
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
178.018456 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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