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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245333020 NPPES
North Carolina MEDICAID 6103454

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