Individual
AMANDA HATHCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
PO BOX 150, BROOKSTON, IN 47923-0150
(260) 572-8414
Mailing address
PO BOX 150, BROOKSTON, IN 47923-0150
(260) 572-8414
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
01230123
MI
101Y00000X
Counselor
Primary
6401225680
MI
Other
Enumeration date
08/02/2016
Last updated
04/21/2026
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