Jacob Isaac Latham, BS

NPI #1235371717 in Bolivar, Tennessee

Provider Information

NPI Number: 1235371717
Entity Type: Individual
Name: Jacob Isaac Latham, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BS
Enumeration Date: Mar 31, 2009
Last Updated: Mar 31, 2009

Practice Location

Address: 10710 OLD HIGHWAY 64
City: Bolivar
State: Tennessee
ZIP Code: 38008-3587
Phone: (731) 658-6113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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