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

Mr. Nathan Latta, CPRC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1033776745

Mr. Nathan Latta, CPRC is an Addiction (Substance Use Disorder) Counselor in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2019
Specialties on file
2

Practice location Address checks out

2081 W Grand Blvd
Detroit, MI 48208-1105
Phone: (313) 895-0500
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (MI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence M-00262 (MI)

Record details

NPI number1033776745
Entity typeIndividual (Type 1)
GenderMale
Credentials CPRC
Sole proprietorYes
NPI enumeratedMay 29, 2019
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023

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