Individual provider · Type 1 NPI
Daniel Latham, LPC/MHSP
Professional Counselor · Johnson City, TN
NPI number
1104432194
Active
Practice location
1203 Plantation Dr
Johnson City, TN 37604-6311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 4421 (TN) |
Professional Counselor: Definition to come...
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About NPI 1104432194
Daniel Latham, LPC/MHSP's National Provider Identifier is 1104432194, issued on Sep 16, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Johnson City, TN. The record was last updated on Dec 16, 2020.