Individual
DR. LATOYA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD, LPC, CAMS
Contact information
Practice address
1218 FAIRBURN RD SW, SUITE 102, ATLANTA, GA 30331-2117
(678) 755-3443
(706) 993-3295
Mailing address
1218 FAIRBURN RD SW, SUITE 102, ATLANTA, GA 30331-2117
(678) 755-3443
(706) 993-3295
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LPC006993
GA
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136859A
—
GA
05
—
003150754A
—
GA
Enumeration date
10/17/2012
Last updated
05/28/2015
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