Individual provider · Type 1 NPI
Shronna Latimore
Professional Counselor · Mableton, GA
NPI number
1104593508
Active
Practice location
6885 Slate Stone Way SE
Mableton, GA 30126-5433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC012237 (GA) |
Professional Counselor: Definition to come...
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About NPI 1104593508
Shronna Latimore's National Provider Identifier is 1104593508, issued on Aug 24, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mableton, GA. The record was last updated on Nov 18, 2021.