Individual provider · Type 1 NPI
Latham Ingersoll
Addiction (Substance Use Disorder) Counselor · Oxnard, CA
NPI number
1093164543
Active
Practice location
2055 Saviers Rd
Oxnard, CA 93033-3608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1093164543
Latham Ingersoll's National Provider Identifier is 1093164543, issued on Jun 6, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oxnard, CA. The record was last updated on Jun 6, 2016.