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NPI Code Detail

MEDICARE: LATISHA M DANJA M.A. PLPC

MEDICARE: LATISHA M DANJA M.A. PLPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLA

General Provider Information

NPI Number : 1750750527
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATISHA M DANJA M.A. PLPC
Provider Business Mailing Address
First Line : 30826 LINDER RD
Second Line :
City : DENHAM SPRINGS
State : LA
Zip : 70726-8507
Country : US
Telephone Number : 225-665-7878
Fax Number : 225-665-7856
Provider Business Practice Location Address
First Line : 30826 LINDER RD
Second Line :
City : DENHAM SPRINGS
State : LA
Zip : 70726-8507
Country : US
Telephone Number : 225-665-7878
Fax Number : 225-665-7856
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2015
Last Update Date : 06/07/2026

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