Individual
SHANNON LYNN LATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23133 VENTURA BLVD STE 103, WOODLAND HILLS, CA 91364-1184
(818) 489-1156
Mailing address
6 PEREGRINE CIR, OAK PARK, CA 91377-1321
(818) 489-1156
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
105866
CA
Other
Enumeration date
10/03/2018
Last updated
02/13/2021
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