Provider Demographics
NPI:1659632859
Name:WASHINGTON, LATRINA (MHR,LPC)
Entity Type:Individual
Prefix:
First Name:LATRINA
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:MHR,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9075 HARMONY DR
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-6217
Mailing Address - Country:US
Mailing Address - Phone:405-535-3142
Mailing Address - Fax:
Practice Address - Street 1:9075 HARMONY DR
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-6217
Practice Address - Country:US
Practice Address - Phone:405-535-3142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health