Individual
DR. LATOYA CHEVELLE WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCS, LCAS, CCS
Contact information
Practice address
4377 BAYLOR ST, GREENSBORO, NC 27455-2557
(336) 264-5141
Mailing address
4377 BAYLOR ST, GREENSBORO, NC 27455-2557
(336) 264-5141
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
572820
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
3429
NC
101YM0800X
Mental Health Counselor
9186
NC
101YP2500X
Professional Counselor
Primary
9186
NC
Other
Enumeration date
11/15/2012
Last updated
10/20/2025
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