Individual
LATRACI ALDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC, NCC
Contact information
Practice address
4646 POPLAR AVE, MEMPHIS, TN 38117-4426
(901) 303-8716
Mailing address
993 SPANISH TRAIL LN, CORDOVA, TN 38018-2846
(901) 377-0283
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6404
TN
101YS0200X
School Counselor
—
TN
Other
Enumeration date
04/19/2011
Last updated
07/03/2023
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