Individual
LATASHA ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
460 BRIARWOOD DR, SUITE 510, JACKSON, MS 39206-3051
(601) 956-4816
(601) 956-4817
Mailing address
5620 GLADEWOOD DR, JACKSON, MS 39211-2608
(601) 966-0154
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2938
MS
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01670076
—
MS
Enumeration date
04/06/2017
Last updated
06/21/2023
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