Individual
JOHNATHAN LATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIMHP
Contact information
Practice address
9239 W CENTER RD STE 211, OMAHA, NE 68124-1900
(402) 399-9305
(402) 397-3191
Mailing address
9239 W CENTER RD STE 211, OMAHA, NE 68124-1900
(402) 399-9305
(402) 397-3191
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2669
NE
Other
Enumeration date
05/16/2023
Last updated
11/29/2023
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