Individual
CYNTHIA A HATAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
301 ANDREWS AVE, SUITE T-125, FORT RUCKER, AL 36362-5333
(334) 255-7797
(334) 255-7923
Mailing address
1207 COUNTY ROAD 452, KINSTON, AL 36453-4536
(334) 565-9877
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
897
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62-20338
UBH BASIC
AL
01
—
62-30338
UBH PLUS
AL
Enumeration date
05/21/2007
Last updated
03/27/2014
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