Individual provider · Type 1 NPI

Shane Gregory Latham

Professional Counselor · Birmingham, AL

NPI number 1497274781 Active

Practice location

100 Century Park S Ste 102
Birmingham, AL 35226-3922

Mailing address

335 Arabian Rd
Columbiana, AL 35051-3262

Other practice locations

  • 8500 W North Ave, Wauwatosa, WI 53226-2844 · (414) 252-5166

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6552 (WI)

Professional Counselor: Definition to come...

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About NPI 1497274781

Shane Gregory Latham's National Provider Identifier is 1497274781, issued on Sep 18, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Birmingham, AL. The record was last updated on Nov 8, 2022.