Individual
MICHELLE LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
7695 POE AVE, DAYTON, OH 45414-2552
(614) 339-0806
Mailing address
7695 POE AVE, DAYTON, OH 45414-2552
(614) 339-0806
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2506884-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
03/22/2022
Last updated
09/24/2025
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