Individual
BENJAMIN SETH LATELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 E MAIN ST, COLUMBUS, OH 43213-3593
(888) 698-8180
Mailing address
527 S HIGH ST, COLUMBUS, OH 43215-5602
(434) 532-5541
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
I.2203368-SUPV
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/26/2018
Last updated
11/05/2024
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