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Organization
LATITUDE FAMILY SERVICES
Active
Organization
LATITUDE FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJA MICHELE JOHNSON LCMHC (OWNER/THERAPIST)
(919) 450-7533
Entity
Organization
Contact information
Practice address
1018 BROAD ST STE A, DURHAM, NC 27705-4144
(919) 450-7533
Mailing address
1018 BROAD ST STE A, DURHAM, NC 27705-4144
(919) 423-2738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
12/08/2022
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