Cynthia A Hataway, LPC Valid NPI
Individual provider · Mental Health Counselor · Fort Rucker, AL
- NPI
- 1831308717
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 897 (AL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-05-21
- Last updated
- 2014-03-27
Practice location
301 Andrews Ave, Suite T-125
Fort Rucker, AL 36362-5333
(334) 255-7797