| Doctor Name: | MIRIAM LATOUR |
| NPI Number: | 1114227790 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 7601 South Redwood Road Bldg B West Jordan, UT - 84084 |
| Business Phone Number: | 8012338670 |
| Business Fax Number: | 8012338282 |
| Mailing Address: | 7601 South Redwood Road Bldg B, WEST JORDAN |
| State: | UT |
| Postal Code: | 84084 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2010 |
| NPI Last Update Date: | 10/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |