Latzer, Jacquie
Latzer, Jacquie is an sole proprietor health care provider with primary practice located at 21326 Summerbrook Dr , Cornelius NC 28031-8543. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Latzer, Jacquie can be contacted via phone (704) 451-9886.Contact Information
Primary practice address
21326 Summerbrook Dr
Cornelius NC 28031-8543
Phone: (704) 451-9886
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5015 | North Carolina |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 5015 | North Carolina |
Profile Details
NPI number | 1245333020 |
---|---|
LBN Legal business name | Latzer, Jacquie |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 6th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245333020 | NPPES |
North Carolina | MEDICAID | 6103454 |
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