Individual
LAUREN LATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CSAC, ICS
Contact information
Practice address
5225 N IRONWOOD RD STE 118, GLENDALE, WI 53217-4909
(414) 253-7732
(414) 206-3188
Mailing address
5225 N IRONWOOD RD STE 118, GLENDALE, WI 53217-4909
(414) 253-7732
(414) 206-3188
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/01/2013
Last updated
03/27/2023
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