Individual
TERESA L HIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BGS
Contact information
Practice address
118 N SALLY DR, WINAMAC, IN 46996-9100
(574) 946-4233
(574) 946-4365
Mailing address
118 N SALLY DR, WINAMAC, IN 46996-9100
(574) 946-4233
(574) 946-4365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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