person
Michael James Latorraca
Addiction (Substance Use Disorder) Counselor in Lodi, California
NPI 1205305968

Michael James Latorraca is an Addiction (Substance Use Disorder) Counselor based in Lodi, CA and is specialized in Addiction (Substance Use Disorder). Michael James Latorraca practices in Lodi, CA. The NPI Number for Michael James Latorraca is 1205305968 and holds a License No. (California).

The current practice location address for Michael James Latorraca is 541 S Ham Ln Ste A&B, Lodi, CA and can be reached out via phone at 224-894-0209 and via fax at 209-224-5076.

Location: 541 S Ham Ln Ste A&B, Lodi, CA, 95242-3530
person
Provider Profile Details
NPI Number
1205305968
Provider Name
Michael James Latorraca
Credential
Provider Entity Type
Individual
Gender
Male
Address
541 S Ham Ln Ste A&B, Lodi, CA, 95242-3530
Phone Number
224-894-0209
Fax Number
209-224-5076
Provider Enumeration Date
11/24/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200628346 05 CA
institution
Provider Business Practice Location Address Details
Address
541 S Ham Ln Ste A&B
City
State
Zip
95242-3530
Phone Number
224-894-0209
Fax Number
209-224-5076
person
Provider Business Mailing Address Details
Address
541 S Ham Ln Ste A&B
City
State
Zip
95242-3530
Phone Number
224-894-0209
Fax Number
209-224-5076
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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