Individual
LATISHA CORPENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
Mailing address
754 BEACHWALK DR, WINNABOW, NC 28479-5193
(910) 297-2994
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A8010
NC
Other
Enumeration date
02/28/2012
Last updated
08/10/2012
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