Individual
DONNA LATIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 E SIX FORKS RD STE 218, RALEIGH, NC 27609-7755
(252) 258-5176
(919) 747-9175
Mailing address
211 E SIX FORKS RD STE 218, RALEIGH, NC 27609-7755
(252) 258-5176
(919) 747-9172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1104808
NC
103TP2701X
Group Psychotherapy Psychologist
1104808
NC
1041C0700X
Clinical Social Worker
Primary
—
NC
251S00000X
Community/Behavioral Health Agency
—
NC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134177298
—
NC
Enumeration date
11/24/2009
Last updated
03/10/2010
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