Individual provider · Type 1 NPI
Latasha Dudley, BBA, M. ED.
Counselor · Douglasville, GA
NPI number
1386936631
Active
Practice location
3275 Hunting Creek Pass
Douglasville, GA 30135-8469
Fax (770) 726-9645
Mailing address
109 Alton Dr
Lagrange, GA 30241-1879
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor | 101YS0200X | 429007 (GA) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Rehabilitation Counselor | 225C00000X | None listed |
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | None listed |
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1386936631
Latasha Dudley, BBA, M. ED.'s National Provider Identifier is 1386936631, issued on May 4, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Douglasville, GA. The record was last updated on Oct 21, 2019.