Individual provider · Type 1 NPI
Latasha Matthews
Professional Counselor · Lawrenceville, GA
NPI number
1245508993
Active
Practice location
1840 Old Norcross Rd Ste 300
Lawrenceville, GA 30044-8803
Mailing address
392 Clearsprings Dr
Lawrenceville, GA 30046-6881
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
| Professional Counselor | 101YP2500X | 006599 (GA) |
Professional Counselor: Definition to come...
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About NPI 1245508993
Latasha Matthews's National Provider Identifier is 1245508993, issued on Dec 8, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 26, 2017.