Individual
MS. LATESHIA ANN GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
102 E HICKS ST STE 100, LAWRENCEVILLE, VA 23868-1830
(434) 253-5617
Mailing address
102 E HICKS ST STE 100, LAWRENCEVILLE, VA 23868-1830
(434) 253-5617
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010711
VA
Other
Enumeration date
09/03/2021
Last updated
09/14/2022
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