Individual provider · Type 1 NPI
Johnathan Latta, LIMHP
Professional Counselor · Omaha, NE
NPI number
1063103604
Active
Practice location
9239 W Center Rd Ste 211
Omaha, NE 68124-1900
Fax (402) 397-3191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2669 (NE) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1063103604
Johnathan Latta, LIMHP's National Provider Identifier is 1063103604, issued on May 16, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Omaha, NE. The record was last updated on Nov 29, 2023.