Mallie Fernacia Latham
Mallie Fernacia Latham is an Addiction (Substance Use Disorder) Counselor in Vallejo, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
325 Ohio StVallejo, CA 94590-5052
Phone: (415) 928-7800
Fax: (415) 928-3710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1881879534 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 31, 2007 |
| Last updated in NPPES | January 19, 2016 |
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