Mrs Deitra Latrice Fant, MA,NCC,LCPC,LPC in Oxon Hill, MD

Mrs Deitra Latrice Fant, MA,NCC,LCPC,LPC is a Counselor - Professional based in Oxon Hill, Maryland. Mrs Deitra Latrice Fant is licensed to practice in Maryland (license number LC10267) and her current practice location is 120 Waterfront St Ste 420, Oxon Hill, Maryland. She can be reached at her office (for appointments etc.) via phone at (703) 857-5354.

NPI number for Mrs Deitra Latrice Fant is 1699131896 and her current mailing address is 120 Waterfront St Ste 420, Oxon Hill, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699131896.

Contact Information

	Mrs Deitra Latrice Fant, MA,NCC,LCPC,LPC
	120 Waterfront St Ste 420, Oxon Hill, MD 20745-1122
	(703) 857-5354
	(571) 601-4607

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Deitra Latrice Fant
Gender	Female
Speciality	Counselor - Professional
Location	120 Waterfront St Ste 420, Oxon Hill, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1699131896
Provider Enumeration Date: 01/05/2016
Last Update Date: 12/29/2025

Medical Identifiers

Medical identifiers for Mrs Deitra Latrice Fant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699131896	NPI	-	NPPES
566703141985	Medicaid	MD
566703141985	Medicaid	DC
20731	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
261QM0850X	Clinic/center - Adult Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	PRC15297 (District Of Columbia)	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary
172V00000X	Community Health Worker	(* (Not Available))	Secondary
261QM0855X	Clinic/center - Adolescent And Children Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	LC10267 (Maryland)	Primary
101YP2500X	Counselor - Professional	0701009874 (Virginia)	Secondary
251S00000X	Community/behavioral Health	(* (Not Available))	Secondary
261QM0801X	Clinic/center - Mental Health (including Community Mental Health Center)	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	08861 (Louisiana)	Secondary
101YM0800X	Counselor - Mental Health	LC10267 (Maryland)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Deitra Latrice Fant is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Deitra Latrice Fant, MA,NCC,LCPC,LPC 120 Waterfront St Ste 420, Oxon Hill, MD 20745-1122 Ph: (703) 857-5354	Mrs Deitra Latrice Fant, MA,NCC,LCPC,LPC 120 Waterfront St Ste 420, Oxon Hill, MD 20745-1122 Ph: (703) 857-5354

Reviews and Comments

Counselor in Oxon Hill, MD

Mrs. Sharon J. Church, LCPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 6188 Oxon Hill Road, Suite 500, Oxon Hill, MD 20745 Phone: 301-567-0400 Fax: 301-567-7900
Ursula Camelo-cerro, LCPC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6710 Oxon Hill Rd Ste 210, Oxon Hill, MD 20745 Phone: 703-220-1807
Dr. Antoinette Lancaster, LPC, LCPC, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6178 Oxon Hill Rd Ste 204, Oxon Hill, MD 20745 Phone: 202-239-5563 Fax: 240-204-8153
Lorin Jimenez-rivera, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6196 Oxon Hill Rd, Oxon Hill, MD 20745 Phone: 301-839-1960
Gabrielle Baldwin, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Riverhaven Dr Unit 226, Oxon Hill, MD 20745 Phone: 302-983-9606
Rosewitha Shelton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6710 Oxon Hill Rd Ste 210, Oxon Hill, MD 20745 Phone: 202-734-4885
Jeanne S Centofanti, MA, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6196 Oxon Hill Rd, Suite 340, Oxon Hill, MD 20745 Phone: 301-839-1960 Fax: 301-839-1961

Mrs Deitra Latrice Fant, MA,NCC,LCPC,LPC - Counselor in Oxon Hill, MD