Individual
MS. LATOYA MONE HARRIS-FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CRC, LPC, LCAS
Contact information
Practice address
4867 KIM CT, DOUGLASVILLE, GA 30135-2659
(252) 495-0410
Mailing address
4867 KIM CT, DOUGLASVILLE, GA 30135-2659
(252) 495-0410
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CRC #00114192
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
2153
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
C0232
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
101YM0800X
Mental Health Counselor
8904
NC
101YM0800X
Mental Health Counselor
A8904
NC
101YM0800X
Mental Health Counselor
LPC009729
GA
101YP2500X
Professional Counselor
8904
NC
101YP2500X
Professional Counselor
LPC009729
GA
Other
Enumeration date
05/02/2012
Last updated
03/05/2021
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