Individual
MRS. KRISTYNA LEA LATHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
135 SCENIC VIEW CIR, WYTHEVILLE, VA 24382-1319
(540) 838-5000
Mailing address
135 SCENIC VIEW CIR, WYTHEVILLE, VA 24382-1319
(540) 838-5000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704014392
VA
101YP2500X
Professional Counselor
TPMC4124
FL
Other
Enumeration date
10/31/2022
Last updated
01/26/2024
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