Conchetta Latrice Gross
NPI #1568278299 in Cantonment, Florida
Provider Information
- NPI Number
- 1568278299
- Entity Type
- Individual
- Name
- Conchetta Latrice Gross
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 7, 2024
- Last Updated
- Dec 7, 2024
Practice Location
- Address
- 526 GREENBERRY DR
- City
- Cantonment
- State
- Florida
- ZIP Code
- 32533-1400
- Phone
- (850) 356-6012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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