Latasha Broomfield, MA, LPC, NCC, CACI
NPI #1699192096 in Edgefield, South Carolina
Provider Information
- NPI Number
- 1699192096
- Entity Type
- Individual
- Name
- Latasha Broomfield, MA, LPC, NCC, CACI
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MA, LPC, NCC, CACI
- Enumeration Date
- Mar 24, 2014
- Last Updated
- Dec 7, 2016
Practice Location
- Address
- 409 SIMPKINS ST
- City
- Edgefield
- State
- South Carolina
- ZIP Code
- 29824-1313
- Phone
- (803) 637-5788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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