Male or Other

Johnathan Latta LIMHP

Professional Counselor in Bellevue, NE(View on Map)

Full Name

Johnathan Latta LIMHP

NPI Number

1063103604

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/16/2023

Specialties

(Taxonomies)

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Nebraska

License Number

2669

Contact
Information

Purpose

Mailing
Location

Address

2231 LINCOLN RD
2231 LINCOLN RD

City

Bellevue
Bellevue

State

NE
NE

Postal Code

68005-3907
68005-3907

Country

US
US

Telephone Number

(402) 291-1203
(402) 291-1203

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/16/2023

Provider Address

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