Individual
ALICIA LATTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1399 ASHLEYBROOK LN, WINSTON SALEM, NC 27103-2961
(336) 774-2194
Mailing address
2815 MILLBROOK DR APT K, WINSTON SALEM, NC 27105-4245
(336) 986-7005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15923
NC
Other
Enumeration date
01/31/2022
Last updated
02/03/2022
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