Individual
MRS. LATISHA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
4436 GLENGROVE RD, RALEIGH, NC 27616-9082
(919) 622-3931
Mailing address
4436 GLENGROVE RD, RALEIGH, NC 27616-9082
(919) 622-3931
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A10102
NC
Other
Enumeration date
05/25/2013
Last updated
03/02/2016
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