Provider Demographics
NPI:1457771222
Name:MCQUATER, LATOYA (LCPC, NCC)
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:
Last Name:MCQUATER
Suffix:
Gender:F
Credentials:LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2285 ANVIL LN
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-4263
Mailing Address - Country:US
Mailing Address - Phone:301-325-6846
Mailing Address - Fax:
Practice Address - Street 1:2285 ANVIL LN
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-4263
Practice Address - Country:US
Practice Address - Phone:301-325-6846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-21
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5458101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional