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Jacob Isaac Latham, BS
Counselor in Bolivar, Tennessee
NPI 1235371717

Jacob Isaac Latham is a Counselor based in Bolivar, TN. Jacob Isaac Latham practices in Bolivar, TN and has the professional credentials of BS. The NPI Number for Jacob Isaac Latham is 1235371717 and holds a License No. (Tennessee).

The current practice location address for Jacob Isaac Latham is 10710 Old Highway 64, Bolivar, TN and can be reached out via phone at 731-658-6113 and via fax at 731-658-6165.

Location: 10710 Old Highway 64, Bolivar, TN, 38008-3587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235371717
Provider Name
Jacob Isaac Latham
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
10710 Old Highway 64, Bolivar, TN, 38008-3587
Phone Number
731-658-6113
Fax Number
731-658-6165
Provider Enumeration Date
03/31/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10710 Old Highway 64
City
Bolivar
State
Tennessee
Zip
38008-3587
Phone Number
731-658-6113
Fax Number
731-658-6165
person
Provider Business Mailing Address Details
Address
10710 Old Highway 64
City
Bolivar
State
Tennessee
Zip
38008-3587
Phone Number
731-658-6113
Fax Number
731-658-6165
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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