Individual
LATISHA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
154 NEWTOWN RD STE B-2, VIRGINIA BEACH, VA 23462-2412
(757) 777-4956
Mailing address
154 NEWTOWN RD STE B-2, VIRGINIA BEACH, VA 23462-2412
(757) 777-4956
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
09/17/2024
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