Individual
MICHELLE A. B. HATHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
18 N FORT THOMAS AVE STE 109, FORT THOMAS, KY 41075-1595
(859) 462-0231
(859) 448-5923
Mailing address
18 N FORT THOMAS AVE STE 109, FORT THOMAS, KY 41075-1595
(859) 462-0231
(859) 448-5923
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCCCA00222615
KY
Other
Enumeration date
09/28/2015
Last updated
07/16/2022
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