Individual
DONALD THADDEUS LATOCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. L.C.P.C.
Contact information
Practice address
555 E NORTH ST, SUITE D, BRADLEY, IL 60915-1226
(815) 935-8133
Mailing address
555 E NORTH ST STE D, BRADLEY, IL 60915-1232
(815) 935-8133
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007843
IL
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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