person
Shane Gregory Latham
Professional Counselor in Birmingham, Alabama
NPI 1497274781

Shane Gregory Latham is a Professional Counselor based in Columbiana, AL and is specialized in Professional. Shane Gregory Latham practices in Birmingham, AL. The NPI Number for Shane Gregory Latham is 1497274781 and holds a License No. 6552 (Alabama).

The current practice location address for Shane Gregory Latham is 100 Century Park S Ste 102, Birmingham, AL and can be reached out via phone at 888-386-9624.

Location: 100 Century Park S Ste 102, Birmingham, AL, 35051-3262
person
Provider Profile Details
NPI Number
1497274781
Provider Name
Shane Gregory Latham
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 Century Park S Ste 102, Birmingham, AL, 35051-3262
Phone Number
888-386-9624
Fax Number
Provider Enumeration Date
09/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Century Park S Ste 102
City
State
Zip
35226-3922
Phone Number
888-386-9624
Fax Number
person
Provider Business Mailing Address Details
Address
100 Century Park S Ste 102
City
State
Zip
35226-3922
Phone Number
888-386-9624
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6552 (Wisconsin)
Definition
Definition to come...
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