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MALLIE FERNACIA LATHAM
NPI 1881879534
Counselor - Addiction (Substance Use Disorder) in Vallejo, CA

Active since December 31, 2007
325 OHIO ST, VALLEJO, CA 94590(415) 928-7800(415) 928-3710 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallie Fernacia Latham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLIE FERNACIA LATHAM (NPI 1881879534) is an individual addiction (substance use disorder) provider in Vallejo, California and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1881879534
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMALLIE FERNACIA LATHAM
Location Address325 OHIO STVallejo, CA 94590-5052
Mailing Address325 Ohio StVallejo, CA 94590-5052 · (415) 928-7800 · Fax (415) 928-3710
Phone(415) 928-7800
Fax(415) 928-3710
Sole ProprietorNo
Enumeration DateDecember 31, 2007
Last NPPES UpdateJanuary 19, 2016
✔ NPI 1881879534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
325 OHIO ST, Vallejo, CA 94590
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallie Latham's NPI number?

The NPI number for Mallie Latham is 1881879534. It was assigned to this individual provider in the NPPES registry on December 31, 2007.

Where is Mallie Latham located?

Mallie Latham practices at 325 Ohio St, Vallejo, CA 94590. The listed phone number is (415) 928-7800.

What is Mallie Latham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mallie Latham was last updated on January 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.