Individual provider · Type 1 NPI
Latanya D. Jara
Mental Health Counselor · Grand Rapids, MI
NPI number
1225940901
Active
Practice location
330 E Beltline Ave NE Ste 3
Grand Rapids, MI 49506-1267
Mailing address
PO Box 224
Comstock Park, MI 49321-0224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6451025377 (MI) |
Mental Health Counselor: Definition to come...
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About NPI 1225940901
Latanya D. Jara's National Provider Identifier is 1225940901, issued on Sep 18, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 18, 2026.