person
Donald Steven Hathaway, LADC
Addiction (Substance Use Disorder) Counselor in Eden Prairie, Minnesota
NPI 1881475374

Donald Steven Hathaway is an Addiction (Substance Use Disorder) Counselor based in Eden Prairie, MN and is specialized in Addiction (Substance Use Disorder). Donald Steven Hathaway practices in Eden Prairie, MN and has the professional credentials of LADC. The NPI Number for Donald Steven Hathaway is 1881475374 and holds a License No. 306751 (Minnesota).

The current practice location address for Donald Steven Hathaway is 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN and can be reached out via phone at 952-746-2522 and via fax at 952-746-0887.

Location: 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN, 55344-3801
person
Provider Profile Details
NPI Number
1881475374
Provider Name
Donald Steven Hathaway
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN, 55344-3801
Phone Number
952-746-2522
Fax Number
952-746-0887
Provider Enumeration Date
10/10/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
11010 Prairie Lakes Dr Ste 350
City
State
Zip
55344-3801
Phone Number
952-746-2522
Fax Number
952-746-0887
person
Provider Business Mailing Address Details
Address
11010 Prairie Lakes Dr Ste 350
City
State
Zip
55344-3801
Phone Number
952-746-2522
Fax Number
952-746-0887
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
306751 (Minnesota)
Definition
Definition to come...
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