LAKISHA LATRELL MEDINA

FAYETTEVILLE, NC
NPI1578382701
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  P021173)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  30141)
Enumeration Date2024-10-04
Last Update Date2024-10-04
Business Address
LAKISHA LATRELL MEDINA
1310 RAEFORD RD STE 1
FAYETTEVILLE, NC 28305-5086
Phone number: 910-485-6336
Mailing Address
LAKISHA LATRELL MEDINA
4739 RITSON LN
FAYETTEVILLE, NC 28306-9751
Phone number: 334-520-7463