person
Latara A Wilson, MA,CMHA
Mental Health Counselor in Grants Pass, Oregon
NPI 1912782137

Latara A Wilson is a Mental Health Counselor based in Grants Pass, OR and is specialized in Mental Health. Latara A Wilson practices in Grants Pass, OR and has the professional credentials of MA,CMHA. The NPI Number for Latara A Wilson is 1912782137 and holds a License No. (Oregon).

The current practice location address for Latara A Wilson is 777 Ne 7Th St Ste 205, Grants Pass, OR and can be reached out via phone at 541-507-6400.

Location: 777 Ne 7Th St Ste 205, Grants Pass, OR, 97526-1632
person
Provider Profile Details
NPI Number
1912782137
Provider Name
Latara A Wilson
Credential
MA,CMHA
Provider Entity Type
Individual
Gender
Female
Address
777 Ne 7Th St Ste 205, Grants Pass, OR, 97526-1632
Phone Number
541-507-6400
Fax Number
Provider Enumeration Date
08/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
777 Ne 7Th St Ste 205
City
State
Zip
97526-1632
Phone Number
541-507-6400
Fax Number
person
Provider Business Mailing Address Details
Address
777 Ne 7Th St Ste 205
City
State
Zip
97526-1632
Phone Number
541-507-6400
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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