Blaine Latham, R1582051024
Blaine Latham, R1582051024 is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
2330 Beverly BlvdLos Angeles, CA 90057-2220
Phone: (213) 549-8320
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence R1582051024 (CA) |
|---|
Record details
| NPI number | 1578454120 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Credentials | R1582051024 |
| Sole proprietor | No |
| NPI enumerated | July 11, 2025 |
| Last updated in NPPES | July 11, 2025 |
| Certification date | July 11, 2025 |
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