Individual provider · Type 1 NPI

Nathan Latta, CPRC

Peer Specialist · Detroit, MI

NPI number 1033776745 Active

Practice location

2081 W Grand Blvd
Detroit, MI 48208-1105

Call (313) 895-0500 Map

Mailing address

707 W Milwaukee St
Detroit, MI 48202-2943

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	M-00262 (MI)
Peer Specialist Primary	175T00000X	None listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1033776745

Nathan Latta, CPRC's National Provider Identifier is 1033776745, issued on May 29, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Detroit, MI. The record was last updated on Jun 15, 2023.