Individual provider · Type 1 NPI

Latiesha Chantell Brazziel

Mental Health Counselor · Westampton, NJ

NPI number 1750155214 Active

Practice location

770 Woodlane Rd
Westampton, NJ 08060-3804

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1750155214

Latiesha Chantell Brazziel's National Provider Identifier is 1750155214, issued on Nov 14, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Westampton, NJ. The record was last updated on Nov 14, 2023.