Individual
LATISHA CHEEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1513 LINE AVE # 135, SHREVEPORT, LA 71101-4621
(318) 828-1455
(318) 828-1626
Mailing address
1513 LINE AVE # 135, SHREVEPORT, LA 71101-4621
(318) 828-1455
(318) 828-1626
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2154869
—
LA
Enumeration date
02/27/2017
Last updated
02/27/2017
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