LATASHA SHAWNTAY MCILWAINE

CHARLOTTE, NC
NPI1063631331
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: NC  6691)
Additional Taxonomies101Y00000X Counselor
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  1296)
Enumeration Date2007-04-25
Last Update Date2009-03-28
Business Address
-- LATASHA SHAWNTAY MCILWAINE MA, MHA, LPC, LCAS
1409 EAST BLVD SUITE 6B
CHARLOTTE, NC 28203-5817
Phone number: 704-340-4666
Mailing Address
-- LATASHA SHAWNTAY MCILWAINE MA, MHA, LPC, LCAS
PO BOX 743
PAW CREEK, NC 28130-0743
Phone number: 704-340-4666