Individual
MR. TIMOTHY WILLIAM LATSKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, LPC, DOT-SAP
Contact information
Practice address
101 JIB CT, WILLIAMSBURG, VA 23185-5281
(757) 208-0950
(757) 208-0950
Mailing address
101 JIB CT, WILLIAMSBURG, VA 23185-5281
(757) 208-0950
(757) 208-0950
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701003702
VA
101YM0800X
Mental Health Counselor
3786
SC
106H00000X
Marriage & Family Therapist
Primary
0717001186
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285606566
—
VA
Enumeration date
02/02/2006
Last updated
05/23/2009
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