person
Larry Hathorne
Mental Health Counselor in Southfield, Michigan
NPI 1255707832

Larry Hathorne is a Mental Health Counselor based in Detroit, MI and is specialized in Mental Health. Larry Hathorne practices in Southfield, MI. The NPI Number for Larry Hathorne is 1255707832 and holds a License No. L749595 (Michigan).

The current practice location address for Larry Hathorne is 2000 Town Ctr, Southfield, MI and can be reached out via phone at 313-701-5787.

Location: 2000 Town Ctr, Southfield, MI, 48204-3122
person
Provider Profile Details
NPI Number
1255707832
Provider Name
Larry Hathorne
Credential
Provider Entity Type
Individual
Gender
Male
Address
2000 Town Ctr, Southfield, MI, 48204-3122
Phone Number
313-701-5787
Fax Number
Provider Enumeration Date
08/18/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2000 Town Ctr
City
State
Zip
48075-1135
Phone Number
313-701-5787
Fax Number
person
Provider Business Mailing Address Details
Address
2000 Town Ctr
City
State
Zip
48075-1135
Phone Number
313-701-5787
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
L749595 (Michigan)
Definition
Definition to come...
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