| Mallie Fernacia Latham, | |
|
325 Ohio St, Vallejo, CA 94590-5052 | |
| (415) 928-7800 | |
| (415) 928-3710 |
| Full Name | Mallie Fernacia Latham |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 325 Ohio St, Vallejo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881879534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mallie Fernacia Latham, 325 Ohio St, Vallejo, CA 94590-5052 Ph: (415) 928-7800 | Mallie Fernacia Latham, 325 Ohio St, Vallejo, CA 94590-5052 Ph: (415) 928-7800 |
Leata Jeames, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 Tuolumne St, Vallejo, CA 94589 Phone: 707-558-1777 Fax: 707-558-1770 | |
Ned L Jacobs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1017 Tennessee St, Vallejo, CA 94590 Phone: 707-647-1520 | |
Tiffany Marie Tyler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 908 Tuolumne St, Vallejo, CA 94590 Phone: 707-648-8121 Fax: 707-648-8129 | |
Michelle Reneta Ortiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 126 Ohio St, Vallejo, CA 94590 Phone: 415-707-2577 Fax: 707-644-5501 | |
Mr. Bjay Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 Georgia Street, Vallejo, CA 94590 Phone: 510-229-2786 | |
Mrs. Tracy Jean Royer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1017 Tennessee St, Vallejo, CA 94590 Phone: 707-647-1520 | |
Annette Thomas Bowman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1131 Cunningham St, Vallejo, CA 94590 Phone: 415-492-0818 Fax: 415-492-0834 |