Individual
DANIEL LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC/MHSP
Contact information
Practice address
1203 PLANTATION DR, JOHNSON CITY, TN 37604-6311
(276) 791-4721
Mailing address
1203 PLANTATION DR, JOHNSON CITY, TN 37604-6311
(276) 791-4721
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4421
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
09/16/2020
Last updated
12/16/2020
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