person
Bryan Lee Hathaway, MS,LPC
Professional Counselor in Grants Pass, Oregon
NPI 1477850469

Bryan Lee Hathaway is a Professional Counselor based in Grants Pass, OR and is specialized in Professional. Bryan Lee Hathaway practices in Grants Pass, OR and has the professional credentials of MS,LPC. The NPI Number for Bryan Lee Hathaway is 1477850469 and holds a License No. C3564 (Oregon).

The current practice location address for Bryan Lee Hathaway is 1201 Ne 7Th St Ste C, Grants Pass, OR and can be reached out via phone at 541-890-1965. You can also correspond with Bryan Lee Hathaway through the mailing address at 1201 NE 7TH ST STE C, GRANTS PASS, OR - 97526-1451 (mailing address contact number: 541-890-1965).

Location: 1201 Ne 7Th St Ste C, Grants Pass, OR, 97526-1451
person
Provider Profile Details
NPI Number
1477850469
Provider Name
Bryan Lee Hathaway
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Male
Address
1201 Ne 7Th St Ste C, Grants Pass, OR, 97526-1451
Phone Number
541-890-1965
Fax Number
Provider Enumeration Date
02/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500679509 05 OR
institution
Provider Business Practice Location Address Details
Address
1201 Ne 7Th St Ste C
City
State
Zip
97526
Phone Number
541-890-1965
Fax Number
person
Provider Business Mailing Address Details
Address
1201 Ne 7Th St Ste C
City
State
Zip
97526
Phone Number
541-890-1965
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C3564 (Oregon)
Definition
Definition to come...
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