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Individual

REBECCA TATE LATHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
209 MEADOWVIEW CIR, CLANTON, AL 35045-3040
(205) 907-5707
Mailing address
209 MEADOWVIEW CIR, CLANTON, AL 35045-3040
(205) 907-5707

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3515
AL
101YP2500X
Professional Counselor
Primary
SC3261
AL

Other

Enumeration date
02/08/2018
Last updated
07/15/2022
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