Individual
THOMAS HATATHLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHT
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2831
(928) 283-2832
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2831
(928) 283-2832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
25409
IN
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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