Individual
MRS. LATISHA HENDRICKS TEACHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCASA
Contact information
Practice address
104 NEW STATESIDE DR, CHAPEL HILL, NC 27516
(919) 942-2803
Mailing address
104 NEW STATESIDE DR, CHAPEL HILL, NC 27516-1165
(919) 592-0147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-24109
NC
Other
Enumeration date
06/30/2016
Last updated
08/02/2018
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