Individual
LATOSHA PRESCOTT-CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
1775 PARKER RD SE BLDG C, CONYERS, GA 30094-6654
(770) 728-1888
Mailing address
1775 PARKER RD SE BLDG C, CONYERS, GA 30094-6654
(770) 853-1352
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC00358
GA
101YM0800X
Mental Health Counselor
LPC009847
GA
101YP2500X
Professional Counselor
Primary
LPC009847
GA
Other
Enumeration date
02/18/2015
Last updated
04/01/2024
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