Individual provider · Type 1 NPI

Latise Egeston, LPC

Professional Counselor · Decatur, GA

NPI number 1265505929 Active

Practice location

4290 Memorial Dr
Decatur, GA 30032-1225

Call (404) 294-0774 Map

Fax (404) 294-0775

Mailing address

3578 S Fulton Ave
Hapeville, GA 30354-1756

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X003589 (GA)

Professional Counselor: Definition to come...

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About NPI 1265505929

Latise Egeston, LPC's National Provider Identifier is 1265505929, issued on Nov 17, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Decatur, GA. The record was last updated on Jul 8, 2007.