Individual
MARK E LATTIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.DIV, LCASA
Contact information
Practice address
143 OLD WAGY RD, FOREST CITY, NC 28043-9466
(828) 447-2477
Mailing address
191 WALKALOOSA WAY, MOORESBORO, NC 28114-7830
(828) 447-2477
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-29161
NC
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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