Individual
JOYCE HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11042 MANCHESTER RD, KIRKWOOD, MO 63122-1244
(314) 669-6452
Mailing address
1510 GREGG AVE, SAINT LOUIS, MO 63139-3004
(630) 788-5839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2015028807
MO
101YP2500X
Professional Counselor
Primary
2015028807
MO
Other
Enumeration date
09/19/2016
Last updated
11/03/2024
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