Individual
JAYNA JEANETTE LATTIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
1400 WILLOW LN, NORTH WILKESBORO, NC 28659-3551
(336) 667-5151
(336) 667-5048
Mailing address
7820 HOLLISWOOD CT APT 923, CHARLOTTE, NC 28217-3132
(843) 637-9487
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12091A
NC
Other
Enumeration date
04/30/2018
Last updated
11/27/2020
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