Individual
MRS. LINDSEY DEANN HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCI-R, CRM
Contact information
Practice address
1655 SW HIGHLAND AVE STE 3, REDMOND, OR 97756-2558
(541) 923-2654
Mailing address
1815 SW 17TH ST, REDMOND, OR 97756-3213
(541) 801-0793
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-2267
OR
175T00000X
Peer Specialist
22-CRM-1123
OR
Other
Enumeration date
07/05/2022
Last updated
09/19/2023
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