Individual
BETHANY T LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
223 W MAIN ST, RAVENNA, OH 44266-2741
(330) 577-4099
(844) 274-3002
Mailing address
307 OHIO AVE, RAVENNA, OH 44266-3725
(330) 577-6656
(844) 274-3002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E1800629
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0272903
—
OH
Enumeration date
09/21/2017
Last updated
05/13/2020
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