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Daniel Latham, LPC/MHSP
Professional Counselor in Johnson City, Tennessee
NPI 1104432194

Daniel Latham is a Professional Counselor based in Johnson City, TN and is specialized in Professional. Daniel Latham practices in Johnson City, TN and has the professional credentials of LPC/MHSP. The NPI Number for Daniel Latham is 1104432194 and holds a License No. 4421 (Tennessee).

The current practice location address for Daniel Latham is 1203 Plantation Dr, Johnson City, TN and can be reached out via phone at 276-791-4721.

Location: 1203 Plantation Dr, Johnson City, TN, 37604-6311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104432194
Provider Name
Daniel Latham
Credential
LPC/MHSP
Provider Entity Type
Individual
Gender
Male
Address
1203 Plantation Dr, Johnson City, TN, 37604-6311
Phone Number
276-791-4721
Fax Number
Provider Enumeration Date
09/16/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 01 NA
institution
Provider Business Practice Location Address Details
Address
1203 Plantation Dr
City
Johnson City
State
Tennessee
Zip
37604-6311
Phone Number
276-791-4721
Fax Number
person
Provider Business Mailing Address Details
Address
1203 Plantation Dr
City
Johnson City
State
Tennessee
Zip
37604-6311
Phone Number
276-791-4721
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
4421 (Tennessee)
Definition
Definition to come...
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