Doctor Name: | MR. JARON HATAWAY |
NPI Number: | 1003225889 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC INTERN |
License Number: | 72707 |
Business Practice Address: | 2770 Main Street Suite 166 Frisco, TX - 75033 |
Business Phone Number: | 9728329199 |
Business Fax Number: | |
Mailing Address: | 2770 Main Street, Suite 166 FRISCO |
State: | TX |
Postal Code: | 75033 |
Phone Number: | 9728329199 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2014 |
NPI Last Update Date: | 08/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 72707 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |