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Shayna L Latour

Counselor, Addiction (Substance Use Disorder) in Plattsburgh, NY. Individual provider (NPI-1).

NPI number1497469167
StatusActive
Last updated in NPPESJan 17, 2024

Details

NPI
1497469167
Entity type
Individual (NPI-1)
Name
Shayna L Latour
Sex
Female
Sole proprietor
No
Enumeration date
Jan 9, 2023
Certification date
Jan 17, 2024
Last updated
Jan 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)34969NYYes

Practice location

80 Sharron Ave
Plattsburgh, NY 12901-4700

Phone 518-561-1447 · Fax 518-562-8812

Mailing address

75 Johnson Ave
Plattsburgh, NY 12901-3701

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