Individual provider · Type 1 NPI

Jason W. Latva, LPC, CSAC, ICS

Addiction (Substance Use Disorder) Counselor · Green Bay, WI

NPI number 1952744161 Active

Practice location

630 Cherry St
Green Bay, WI 54301-4931

Call (920) 435-2093 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X7386-125 (WI)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15923-131 (WI)

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

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About NPI 1952744161

Jason W. Latva, LPC, CSAC, ICS's National Provider Identifier is 1952744161, issued on Apr 8, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Green Bay, WI. The record was last updated on May 30, 2025.