Individual
LATASHA DELANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 N MISSOURI ST STE 2, WEST MEMPHIS, AR 72301-3186
(870) 907-9185
(870) 561-5311
Mailing address
312 N MISSOURI ST STE 2, WEST MEMPHIS, AR 72301-3186
(870) 907-9185
(870) 561-5311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1608105
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228466719
—
AR
05
—
290592744
—
AR
Enumeration date
05/13/2008
Last updated
04/20/2023
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