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Roland Hathway, LPC,QMHP
Professional Counselor in Eugene, Oregon
NPI 1588723902

Roland Hathway is a Professional Counselor based in Eugene, OR and is specialized in Professional. Roland Hathway practices in Eugene, OR and has the professional credentials of LPC,QMHP. The NPI Number for Roland Hathway is 1588723902 and holds a License No. C2048 (Oregon).

The current practice location address for Roland Hathway is 1193 Pearl St, Eugene, OR and can be reached out via phone at 541-343-1937 and via fax at 541-343-5875.

Location: 1193 Pearl St, Eugene, OR, 97401-3521
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Provider Profile Details
NPI Number
1588723902
Provider Name
Roland Hathway
Credential
LPC,QMHP
Provider Entity Type
Individual
Gender
Male
Address
1193 Pearl St, Eugene, OR, 97401-3521
Phone Number
541-343-1937
Fax Number
541-343-5875
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019047 05 OR
institution
Provider Business Practice Location Address Details
Address
1193 Pearl St
City
State
Zip
97401-3521
Phone Number
541-343-1937
Fax Number
541-343-5875
person
Provider Business Mailing Address Details
Address
1193 Pearl St
City
State
Zip
97401-3521
Phone Number
541-343-1937
Fax Number
541-343-5875
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C2048 (Oregon)
Definition
Definition to come...
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