Individual
MISS LATASHA BURWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 BASSET HALL DR, DURHAM, NC 27713-8252
(919) 725-1590
Mailing address
210 BASSET HALL DR, DURHAM, NC 27713-8252
(919) 725-1590
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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