LATISHA ELLIS

COVINGTON, LA
NPI1366999757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-09-02
Last Update Date2016-09-02
Business Address
-- LATISHA ELLIS
19331 N 12TH ST
COVINGTON, LA 70433-5228
Phone number: 985-400-5901
Mailing Address
-- LATISHA ELLIS
19331 N 12TH ST
COVINGTON, LA 70433-5228
Phone number: 985-400-5901