Individual
AMBER LATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMS
Contact information
Practice address
3214 PROSPECT AVE E, CLEVELAND, OH 44115-2614
(216) 910-9015
Mailing address
3214 PROSPECT AVE E, CLEVELAND, OH 44115-2614
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/01/2023
Last updated
03/25/2025
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