Individual
KIRA KRISTINA LATHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, DBTC
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3532
(541) 440-3554
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 440-3532
(541) 440-3554
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
151871
AK
101YP2500X
Professional Counselor
7315
SD
101YP2500X
Professional Counselor
Primary
C10435
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712999
—
AK
Enumeration date
05/17/2016
Last updated
10/08/2025
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