Lateasha Nicole, SAC
NPI #1013617265 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1013617265
- Entity Type
- Individual
- Name
- Lateasha Nicole, SAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SAC
- Enumeration Date
- Mar 7, 2023
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 5735 DURAND AVE
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53406-5011
- Phone
- (262) 598-1392
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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