Individual
MR. CHARLES OWEN HIATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC/MHSP
Contact information
Practice address
5819 WINDING LN, SUITE J, HIXSON, TN 37343-3631
(423) 933-2575
(423) 285-6160
Mailing address
5819 WINDING LN, SUITE J, HIXSON, TN 37343-3631
(423) 933-2575
(423) 285-6160
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2709
TN
Other
Enumeration date
04/26/2007
Last updated
05/09/2011
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