Individual
DEBORAH LATZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC, LADC
Contact information
Practice address
760 ELMWOOD AVE S, LE SUEUR, MN 56058-2169
(507) 931-8040
(507) 931-8060
Mailing address
29150 441ST AVE, GAYLORD, MN 55334-2202
(218) 790-2165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
301854
MN
101YP2500X
Professional Counselor
Primary
CC00107
MN
Other
Enumeration date
11/02/2006
Last updated
02/04/2020
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