Individual provider · Type 1 NPI

Lateasha Nicole, SAC

Addiction (Substance Use Disorder) Counselor · Mount Pleasant, WI

NPI number 1013617265 Active

Practice location

5735 Durand Ave
Mount Pleasant, WI 53406-5011

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16574 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013617265

Lateasha Nicole, SAC's National Provider Identifier is 1013617265, issued on Mar 7, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mount Pleasant, WI. The record was last updated on Mar 7, 2023.