Individual
GREG HATHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 WARREN AVE STE 200, BREMERTON, WA 98337-1467
(360) 478-2366
(360) 373-2096
Mailing address
400 WARREN AVE STE 200, BREMERTON, WA 98337-1467
(360) 478-2366
(360) 373-2096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1780362624
WA
Other
Enumeration date
07/10/2023
Last updated
10/11/2024
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