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Latasha Broomfield, MA,LPC,NCC,CACI
Professional Counselor in Edgefield, South Carolina
NPI 1699192096

Latasha Broomfield is a Professional Counselor based in Edgefield, SC and is specialized in Professional. Latasha Broomfield practices in Edgefield, SC and has the professional credentials of MA,LPC,NCC,CACI. The NPI Number for Latasha Broomfield is 1699192096 and holds a License No. 6126 (South Carolina).

The current practice location address for Latasha Broomfield is 409 Simpkins St, Edgefield, SC and can be reached out via phone at 803-637-5788.

Location: 409 Simpkins St, Edgefield, SC, 29824-1313
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Provider Profile Details
NPI Number
1699192096
Provider Name
Latasha Broomfield
Credential
MA,LPC,NCC,CACI
Provider Entity Type
Individual
Gender
Female
Address
409 Simpkins St, Edgefield, SC, 29824-1313
Phone Number
803-637-5788
Fax Number
Provider Enumeration Date
03/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
421504 05 SC
institution
Provider Business Practice Location Address Details
Address
409 Simpkins St
City
State
Zip
29824-1313
Phone Number
803-637-5788
Fax Number
person
Provider Business Mailing Address Details
Address
409 Simpkins St
City
State
Zip
29824-1313
Phone Number
803-637-5788
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6126 (South Carolina)
Definition
Definition to come...
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