Individual provider · Type 1 NPI

Mike Latella, CADC-II

Addiction (Substance Use Disorder) Counselor · Peachtree City, GA

NPI number 1629624382 Active

Practice location

111 Petrol Pt Ste A-3
Peachtree City, GA 30269-1550

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1241 (GA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1629624382

Mike Latella, CADC-II's National Provider Identifier is 1629624382, issued on Aug 16, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Peachtree City, GA. The record was last updated on Aug 16, 2019.