Provider Demographics
NPI:1487351037
Name:FAKIR, LATONYA APRIL (MTH, MA)
Entity type:Individual
Prefix:MRS
First Name:LATONYA
Middle Name:APRIL
Last Name:FAKIR
Suffix:
Gender:F
Credentials:MTH, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6671 134TH ST W
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-7961
Mailing Address - Country:US
Mailing Address - Phone:313-942-5239
Mailing Address - Fax:
Practice Address - Street 1:6671 134TH ST W
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-7961
Practice Address - Country:US
Practice Address - Phone:313-942-5239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist