Individual
LATASHA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
224 E MAIN ST, LEXINGTON, SC 29072-3546
(803) 808-5222
Mailing address
224 E MAIN ST, LEXINGTON, SC 29072-3546
(803) 808-5222
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6890
SC
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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