Female

Cynthia A. Hataway LPC

Mental Health Counselor in Fort Rucker, AL(View on Map)

Full Name

Cynthia A Hataway LPC

NPI Number

1831308717

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/21/2007

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Alabama

License Number

897

Contact
Information

Purpose

Mailing
Location

Address

1207 COUNTY ROAD 452
301 ANDREWS AVE

City

Kinston
Fort Rucker

State

AL
AL

Postal Code

36453-4536
36362-5333

Country

US
US

Telephone Number

(334) 565-9877
(334) 255-7797

Identifiers

Identifier

62-20338
62-30338

Identifier State

AL
AL

Identifier Issuer

UBH BASIC
UBH PLUS

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/27/2014

Provider Address

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