Individual provider · Type 1 NPI

Donald Thaddeus Latocha, M.A. L.C.P.C.

Professional Counselor · Bradley, IL

NPI number 1417214115 Active

Practice location

555 E North St, Suite D
Bradley, IL 60915-1226

Call (815) 935-8133 Map

Mailing address

555 E North St Ste D
Bradley, IL 60915-1232

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180007843 (IL)

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About NPI 1417214115

Donald Thaddeus Latocha, M.A. L.C.P.C.'s National Provider Identifier is 1417214115, issued on Apr 18, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bradley, IL. The record was last updated on Apr 18, 2012.