Individual
LATESHA DENISE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
5728 SCHAEFER RD STE 204, DEARBORN, MI 48126-2287
(313) 354-6234
Mailing address
7819 NECKEL ST, DEARBORN, MI 48126-1140
(313) 346-6924
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017533
MI
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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