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Individual

ALLYSON LATHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
1440 E FOUNTAIN BLVD, COLORADO SPRINGS, CO 80910-3502
(719) 238-4382
Mailing address
2803 STRAUS LN, COLORADO SPRINGS, CO 80907-5823
(719) 238-4382

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/05/2017
Last updated
05/20/2024
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