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Individual
SHANA ULON LATHAM
Active
Individual
SHANA ULON LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC PRC13693
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PRC13693
DC
101YA0400X
Addiction (Substance Use Disorder) Counselor
PRC13693
DC
101YS0200X
School Counselor
PRC13693
DC
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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