Individual
STEPHANY LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
Mailing address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401015419
MI
101YP2500X
Professional Counselor
6401015419
MI
221700000X
Art Therapist
—
—
Other
Enumeration date
08/02/2016
Last updated
03/03/2022
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