Provider Demographics
NPI:1558120527
Name:LATHAM, KALEE ERIN (MA, LPCA)
Entity Type:Individual
Prefix:
First Name:KALEE
Middle Name:ERIN
Last Name:LATHAM
Suffix:
Gender:F
Credentials:MA, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 HAUGHTON RD
Mailing Address - Street 2:
Mailing Address - City:BOZRAH
Mailing Address - State:CT
Mailing Address - Zip Code:06334-1207
Mailing Address - Country:US
Mailing Address - Phone:860-917-0790
Mailing Address - Fax:
Practice Address - Street 1:28 HAUGHTON RD
Practice Address - Street 2:
Practice Address - City:BOZRAH
Practice Address - State:CT
Practice Address - Zip Code:06334-1207
Practice Address - Country:US
Practice Address - Phone:860-917-0790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health