person
Linda Riley Hathorne, LLPC
Mental Health Counselor in Southfield, Michigan
NPI 1548428014

Linda Riley Hathorne is a Mental Health Counselor based in Detroit, MI and is specialized in Mental Health. Linda Riley Hathorne practices in Southfield, MI and has the professional credentials of LLPC. The NPI Number for Linda Riley Hathorne is 1548428014 and holds a License No. 6401005921 (Michigan).

The current practice location address for Linda Riley Hathorne is 17352 W 12 Mile Rd, Southfield, MI and can be reached out via phone at 248-559-0730 and via fax at 248-569-7626.

Location: 17352 W 12 Mile Rd, Southfield, MI, 48202-2601
person
Provider Profile Details
NPI Number
1548428014
Provider Name
Linda Riley Hathorne
Credential
LLPC
Provider Entity Type
Individual
Gender
Female
Address
17352 W 12 Mile Rd, Southfield, MI, 48202-2601
Phone Number
248-559-0730
Fax Number
248-569-7626
Provider Enumeration Date
05/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6401005921 01 MI STATE OF MICHIGAN LICENCE
institution
Provider Business Practice Location Address Details
Address
17352 W 12 Mile Rd
City
State
Zip
48076-2119
Phone Number
248-559-0730
Fax Number
248-569-7626
person
Provider Business Mailing Address Details
Address
17352 W 12 Mile Rd
City
State
Zip
48076-2119
Phone Number
248-559-0730
Fax Number
248-569-7626
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6401005921 (Michigan)
Definition
Definition to come...
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