Individual
CELENA AUSTIN LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
2700 AIRPORT FWY, FORT WORTH, TX 76111-2332
(817) 332-6329
(817) 332-2828
Mailing address
2700 AIRPORT FWY, FORT WORTH, TX 76111-2332
(817) 332-6329
(817) 332-2828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10951
TX
Other
Enumeration date
07/01/2012
Last updated
07/01/2012
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