Individual
DONALD STEVEN HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
11010 PRAIRIE LAKES DR STE 350, EDEN PRAIRIE, MN 55344-3801
(952) 746-2522
(952) 746-0887
Mailing address
11010 PRAIRIE LAKES DR STE 350, EDEN PRAIRIE, MN 55344-3801
(952) 746-2522
(952) 746-0887
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306751
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/10/2023
Last updated
07/07/2025
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