Individual
LATANYA JOANIECE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
761 CUTHBERT BLVD, CHERRY HILL, NJ 08002-3417
(856) 890-9449
Mailing address
761 CUTHBERT BLVD, CHERRY HILL, NJ 08002-3417
(267) 259-3759
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00358100
NJ
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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