Provider Demographics
NPI:1962796532
Name:LOSCH, NAJLA FATIMAH (LPC)
Entity type:Individual
Prefix:MRS
First Name:NAJLA
Middle Name:FATIMAH
Last Name:LOSCH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3863 ALLYN DR NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-2468
Mailing Address - Country:US
Mailing Address - Phone:770-331-6175
Mailing Address - Fax:
Practice Address - Street 1:3863 ALLYN DR NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-2468
Practice Address - Country:US
Practice Address - Phone:770-331-6175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006247101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional