Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark E Lattimore, MDIV, LCASA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1306526348

Mark E Lattimore, MDIV, LCASA is an Addiction (Substance Use Disorder) Counselor in Forest City, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023

Practice location Address checks out

143 Old Wagy Rd
Forest City, NC 28043-9466
Phone: (828) 447-2477
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCAS-29161 (NC)

Record details

NPI number1306526348
Entity typeIndividual (Type 1)
GenderMale
Credentials MDIV , LCASA
Sole proprietorYes
NPI enumeratedJuly 24, 2023
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023

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