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Ms. Audra Elisabeth Latham, LMHC
Mental Health Counselor in Jacksonville, Florida
NPI 1649338823

Audra Elisabeth Latham is a Mental Health Counselor based in Jacksonville, FL and is specialized in Mental Health. Audra Elisabeth Latham practices in Jacksonville, FL and has the professional credentials of LMHC. The NPI Number for Audra Elisabeth Latham is 1649338823 and holds a License No. MH8899 (Florida).

The current practice location address for Audra Elisabeth Latham is 10250 Normandy Blvd Unit 802, Jacksonville, FL and can be reached out via phone at 904-379-7155 and via fax at 904-379-7165.

Location: 10250 Normandy Blvd Unit 802, Jacksonville, FL, 32256-8357
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Provider Profile Details
NPI Number
1649338823
Provider Name
Audra Elisabeth Latham
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
10250 Normandy Blvd Unit 802, Jacksonville, FL, 32256-8357
Phone Number
904-379-7155
Fax Number
904-379-7165
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
013943700 05 FL
institution
Provider Business Practice Location Address Details
Address
10250 Normandy Blvd Unit 802
City
State
Zip
32221-8064
Phone Number
904-379-7155
Fax Number
904-379-7165
person
Provider Business Mailing Address Details
Address
10250 Normandy Blvd Unit 802
City
State
Zip
32221-8064
Phone Number
904-379-7155
Fax Number
904-379-7165
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH8899 (Florida)
Definition
Definition to come...
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