Individual
LATWICE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC, NCC, LAPC
Contact information
Practice address
3069 AMWILER RD STE 10, ATLANTA, GA 30360-2825
(470) 875-3113
Mailing address
PO BOX 80112, ATLANTA, GA 30366-0112
(770) 862-4989
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
008719
GA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
008719
GA
225C00000X
Rehabilitation Counselor
Primary
366134
GA
Other
Enumeration date
08/08/2022
Last updated
05/22/2023
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