Individual
BETH NALL LATELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
102 DAWN LN, WAVERLY, OH 45690-9695
(740) 947-7783
(740) 947-4226
Mailing address
102 DAWN LN, WAVERLY, OH 45690-9695
(740) 947-7783
(740) 947-4226
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E-0002375
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000305801
ANTHEM
OH
Enumeration date
05/05/2006
Last updated
12/11/2013
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