Individual
MS. LATASHA LATRICE BLISSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
101 DEVANT ST, FAYETTEVILLE, GA 30214-2710
(404) 465-4244
Mailing address
PO BOX 962783, RIVERDALE, GA 30296-6928
(770) 331-6576
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004448
GA
Other
Enumeration date
02/26/2013
Last updated
09/24/2024
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