Individual
JACQUELINE ALEXIS HATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
453 ALLENBY DR, MARYSVILLE, OH 43040-8722
(937) 642-0048
(937) 642-1316
Mailing address
8316 BRUNTSFIELD RD, COLUMBUS, OH 43235-8425
(614) 657-5225
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.0007661-SUPR
OH
Other
Enumeration date
01/12/2010
Last updated
02/25/2010
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