NPI 1023564101

Latasha Abraham, LPC

Practitioner Professional Counselor Martinez, GA

Practice location

Address: 4210 Columbia Rd Suite 5d, Martinez, GA 30907-0401
Phone: (706) 836-3193

Registered specialties (3)

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPC009282 (GA)

Other Counselor providers in Georgia →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence LPC009282 (GA)

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence LPC009282 (GA)

Registry record

NPI: 1023564101
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2016
Record last updated: 4 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.