Individual
LATISHA R DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
341 BOGLE STREET STE A, SOMERSET, KY 42503-2815
(606) 677-0201
(606) 677-0208
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
172163
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13975265
CAQH
—
05
—
7100449230
—
KY
Enumeration date
10/15/2007
Last updated
01/02/2024
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