person
Jason W Latva, SAC
Addiction (Substance Use Disorder) Counselor in Shawano, Wisconsin
NPI 1952744161

Jason W Latva is an Addiction (Substance Use Disorder) Counselor based in Shawano, WI and is specialized in Addiction (Substance Use Disorder). Jason W Latva practices in Shawano, WI and has the professional credentials of SAC. The NPI Number for Jason W Latva is 1952744161 and holds a License No. 15923-131 (Wisconsin).

The current practice location address for Jason W Latva is 504 Lakeland Rd, Shawano, WI and can be reached out via phone at 715-524-6873 and via fax at 715-526-5542.

Location: 504 Lakeland Rd, Shawano, WI, 54166-3836
person
Provider Profile Details
NPI Number
1952744161
Provider Name
Jason W Latva
Credential
SAC
Provider Entity Type
Individual
Gender
Male
Address
504 Lakeland Rd, Shawano, WI, 54166-3836
Phone Number
715-524-6873
Fax Number
715-526-5542
Provider Enumeration Date
04/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
504 Lakeland Rd
City
State
Zip
54166-3836
Phone Number
715-524-6873
Fax Number
715-526-5542
person
Provider Business Mailing Address Details
Address
504 Lakeland Rd
City
State
Zip
54166-3836
Phone Number
715-524-6873
Fax Number
715-526-5542
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15923-131 (Wisconsin)
Definition
Definition to come...
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