| Doctor Name: | MARILYN M. LATHAM |
| NPI Number: | 1053457481 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | 975889 |
| Business Practice Address: | 964 N Market St Lisbon, OH - 444320464 |
| Business Phone Number: | 3304241468 |
| Business Fax Number: | 3304249844 |
| Mailing Address: | Po Box 464, LISBON |
| State: | OH |
| Postal Code: | 444320464 |
| Phone Number: | 3304241468 |
| Fax Number: | 3304249844 |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 975889 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |