Individual
MICHAEL LATINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LASAC
Contact information
Practice address
2400 N CENTRAL AVE STE 101, PHOENIX, AZ 85004-1300
(602) 264-9891
Mailing address
2400 N CENTRAL AVE STE 101, PHOENIX, AZ 85004-1300
(602) 264-9891
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-15133
AZ
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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