Individual
NICOLE HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
125 MIDDLETOWN RD, WATERFORD, NY 12188-1516
(518) 587-8008
(518) 587-8241
Mailing address
359 BALLSTON AVE, SARATOGA SPRINGS, NY 12866-4723
(518) 587-8008
(518) 587-8241
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001997
NY
Other
Enumeration date
09/06/2012
Last updated
07/31/2023
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