Individual
CARRI RENE LATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401009271
MI
101YP2500X
Professional Counselor
Primary
6401223280
MI
104100000X
Social Worker
6802078495
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COUN 09-99429
MICHIGAN DEPT OF HUMAN SERVICES
MI
Enumeration date
09/07/2011
Last updated
09/19/2023
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