Individual
JEANINE SONGY LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6833
LA
133V00000X
Registered Dietitian
526
LA
Other
Enumeration date
06/21/2007
Last updated
12/01/2023
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