Latesha Denise Powell, LLPC
Counselor, Professional in Dearborn, MI. Individual provider (NPI-1).
NPI number1124615646
StatusActive
Last updated in NPPESDec 30, 2020
Details
- NPI
- 1124615646
- Entity type
- Individual (NPI-1)
- Name
- Latesha Denise Powell
- Credential
- LLPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 30, 2020
- Certification date
- Dec 30, 2020
- Last updated
- Dec 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6401017533 | MI | Yes |
Practice location
5728 Schaefer Rd Ste 204Dearborn, MI 48126-2287
Phone 313-354-6234
Mailing address
7819 Neckel StDearborn, MI 48126-1140
Phone 313-346-6924
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