Individual
LATASHA Y BECTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCMHC, LCAS
Contact information
Practice address
1400 OLD MILL CIRCLE, WINSTON SALEM, NC 27103-2701
(336) 575-8985
Mailing address
2827 WILD POPLAR WAY, GREENSBORO, NC 27405
(336) 575-8985
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
8135
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
2734
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
2734-A
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
8135
NC
101YM0800X
Mental Health Counselor
8135
NC
101YM0800X
Mental Health Counselor
A8135
NC
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
8135
NC
101YP2500X
Professional Counselor
Primary
A8135
NC
Other
Enumeration date
01/06/2011
Last updated
09/19/2020
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