person
Latasha Renea Green, LCASLPCCCS
Mental Health Counselor in Windsor, North Carolina
NPI 1023283074

Latasha Renea Green is a Mental Health Counselor based in Greenville, NC and is specialized in Mental Health. Latasha Renea Green practices in Windsor, NC and has the professional credentials of LCASLPCCCS. The NPI Number for Latasha Renea Green is 1023283074 and holds a License No. (North Carolina).

The current practice location address for Latasha Renea Green is 312 Sterlingworth St, Windsor, NC and can be reached out via phone at 252-794-3834 and via fax at 252-794-3204.

Location: 312 Sterlingworth St, Windsor, NC, 27835-7281
person
Provider Profile Details
NPI Number
1023283074
Provider Name
Latasha Renea Green
Credential
LCASLPCCCS
Provider Entity Type
Individual
Gender
Female
Address
312 Sterlingworth St, Windsor, NC, 27835-7281
Phone Number
252-794-3834
Fax Number
252-794-3204
Provider Enumeration Date
04/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6112085 05 NC
institution
Provider Business Practice Location Address Details
Address
312 Sterlingworth St
City
State
Zip
27983-1724
Phone Number
252-794-3834
Fax Number
252-794-3204
person
Provider Business Mailing Address Details
Address
312 Sterlingworth St
City
State
Zip
27983-1724
Phone Number
252-794-3834
Fax Number
252-794-3204
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
7704 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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