Lakisha Latrell Medina
Lakisha Latrell Medina is an Addiction (Substance Use Disorder) Counselor in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
1310 Raeford Rd Ste 1Fayetteville, NC 28305-5086
Phone: (910) 485-6336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence P021173 (NC) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 30141 (NC) |
Record details
| NPI number | 1578382701 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 4, 2024 |
| Last updated in NPPES | October 4, 2024 |
| Certification date | October 4, 2024 |
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