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Latasha M. Anderson, LPC

Counselor, Professional in Newport News, VA. Individual provider (NPI-1).

NPI number1790320547
StatusActive
Last updated in NPPESNov 14, 2019

Details

NPI
1790320547
Entity type
Individual (NPI-1)
Name
Miss Latasha M. Anderson
Credential
LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 14, 2019
Last updated
Nov 14, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional0701008768VAYes
101Y00000X Counselor0701008768VA
101YA0400X Counselor, Addiction (Substance Use Disorder)0701008768VA
101YM0800X Counselor, Mental Health0701008768VA

Practice location

751 Thimble Shoals Blvd Ste A
Newport News, VA 23606-3563

Phone 757-525-4812

Mailing address

5689 Rivermill Cir
Portsmouth, VA 23703-1561

Phone 757-297-6363

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