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Mr. Nathan Latta, CPRC
Peer Specialist in Detroit, Michigan
NPI 1033776745

Nathan Latta is a Peer Specialist based in Detroit, MI. Nathan Latta practices in Detroit, MI and has the professional credentials of CPRC. The NPI Number for Nathan Latta is 1033776745 and holds a License No. M-00262 (Michigan).

The current practice location address for Nathan Latta is 2081 W Grand Blvd, Detroit, MI and can be reached out via phone at 313-895-0500.

Location: 2081 W Grand Blvd, Detroit, MI, 48202-2943
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Provider Profile Details
NPI Number
1033776745
Provider Name
Nathan Latta
Credential
CPRC
Provider Entity Type
Individual
Gender
Male
Address
2081 W Grand Blvd, Detroit, MI, 48202-2943
Phone Number
313-895-0500
Fax Number
Provider Enumeration Date
05/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2081 W Grand Blvd
City
State
Zip
48208-1105
Phone Number
313-895-0500
Fax Number
person
Provider Business Mailing Address Details
Address
2081 W Grand Blvd
City
State
Zip
48208-1105
Phone Number
313-895-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
M-00262 (Michigan)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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