Latanya Shalon Booker
Counselor, Addiction (Substance Use Disorder) in Rochester, NY. Individual provider (NPI-1).
NPI number1366094567
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1366094567
- Entity type
- Individual (NPI-1)
- Name
- Ms. Latanya Shalon Booker
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2019
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 246316281 | NY | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
33 Chestnut StRochester, NY 14604-2303
Phone 585-262-4300
Mailing address
33 Chestnut St Fl 1Rochester, NY 14604-2303
Phone 585-262-4330 · Fax 585-262-4826
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