Individual
MS. MELISSA ANN LATHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP 60277532
Contact information
Practice address
4240 AUBURN WAY N, AUBURN, WA 98002-1311
(253) 976-8900
Mailing address
4240 AUBURN WAY N, AUBURN, WA 98002-1311
(253) 976-8900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 60277532
WA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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