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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALLIE FERNACIA LATHAM

Active

MALLIE FERNACIA LATHAM is a Addiction (Substance Use Disorder) Counselor healthcare provider located in VALLEJO, California. NPI 1881879534 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · VALLEJO, CA

Registration Details

NPI Number
1881879534
Provider Type
Individual
Gender
Male
NPI Issued
Dec 31, 2007 (18.610538256094 yrs)
Last Updated
Jan 19, 2016

Practice Information

Address
325 OHIO ST
VALLEJO, CA, 945905052
Browse CA providers · Browse ZIP 94590
Phone
4159287800
Fax
4159283710

Other Addiction (Substance Use Disorder) Counselor Providers in VALLEJO, CA

Name Credential NPI
MRS. CATHERINE W FISER CADC II 1730245721
YOLANDA ORTEGA-CALBERT CADC II 1811053317
KATHLEEN CECELIA KAWECKI-SHELLY 1134273279
CHRISTINE LEE OCHOA CAS 1598801748
MR. DAVID HARTFIELD-DYELS M.DIV 1336354554
RICHARD LYN SMITH 1225228208
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.