Individual
SHANA ULON LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC PRC13693
Contact information
Practice address
1301 LENFANT SQ SE, WASHINGTON, DC 20020-6724
(202) 584-1244
(202) 584-1249
Mailing address
3321 7TH ST SE, WASHINGTON, DC 20032-4212
(202) 373-1302
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PRC13693
DC
101YA0400X
Addiction (Substance Use Disorder) Counselor
PRC13693
DC
101YS0200X
School Counselor
PRC13693
DC
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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