Individual provider · Type 1 NPI

Latisa Tanner, REGISTERED NURSE

Professional Counselor · Pottstown, PA

NPI number 1245765833 Active

Practice location

11 Robinson St
Pottstown, PA 19464-6421

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XRN677821 (PA)

Professional Counselor: Definition to come...

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About NPI 1245765833

Latisa Tanner, REGISTERED NURSE's National Provider Identifier is 1245765833, issued on Apr 20, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pottstown, PA. The record was last updated on Apr 20, 2017.