Individual
MRS. LATASHA YVONNE ARCHIBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
446 BLAKE ST STE 200, NEW HAVEN, CT 06515-1286
(203) 387-9400
Mailing address
446 BLAKE ST STE 200, NEW HAVEN, CT 06515-1286
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003077
CT
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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