Individual
KEVIN I HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHC
Contact information
Practice address
10 PARK ROW W APT 635, PROVIDENCE, RI 02903-1182
(401) 261-3733
Mailing address
10 PARK ROW W APT 635, PROVIDENCE, RI 02903-1182
(401) 261-3733
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00531
RI
Other
Enumeration date
06/18/2012
Last updated
04/10/2025
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