Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mrs. Deitra Latrice Fant, MA, NCC, LCPC, LPC

Individual provider Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1699131896

Mrs. Deitra Latrice Fant, MA, NCC, LCPC, LPC is registered under Mental Health Clinic/Center (Including Community Mental Health Center) in Oxon Hill, Maryland. Practices as a sole proprietor. Licensed in District of Columbia, Louisiana, Maryland and Virginia.

Licensed in
DC, LA, MD, VA
In the registry since
2016
Specialties on file
12
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
NCC — National Certified Counselor
A counsellor certified by the NBCC.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

120 Waterfront St Ste 420
Oxon Hill, MD 20745-1122
Phone: (703) 857-5354
Fax: (571) 601-4607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LC10267 (MD)
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Mental Health Counselor Taxonomy 101YM0800X
Mental Health Counselor Taxonomy 101YM0800X · Licence LC10267 (MD)
Professional Counselor Taxonomy 101YP2500X · Licence PRC15297 (DC)
Professional Counselor Taxonomy 101YP2500X · Licence 0701009874 (VA)
Professional Counselor Taxonomy 101YP2500X · Licence 08861 (LA)
Community Health Worker Taxonomy 172V00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1699131896
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , NCC , LCPC , LPC
Sole proprietorYes
NPI enumeratedJanuary 5, 2016
Last updated in NPPESSeptember 29, 2026
Certification dateDecember 29, 2025

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