Daniel Latham, LPC/MHSP
NPI #1104432194 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1104432194
- Entity Type
- Individual
- Name
- Daniel Latham, LPC/MHSP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC/MHSP
- Enumeration Date
- Sep 16, 2020
- Last Updated
- Dec 16, 2020
Practice Location
- Address
- 1203 PLANTATION DR
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-6311
- Phone
- (276) 791-4721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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