Individual
JONATHAN EDWARD HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHCA
Contact information
Practice address
1234 ROSSVILLE AVE, FRANKFORT, IN 46041-1059
(765) 237-9674
Mailing address
1234 ROSSVILLE AVE, FRANKFORT, IN 46041-1059
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88002608A
IN
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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