Individual provider · Type 1 NPI

Larry Hathorne

Mental Health Counselor · Southfield, MI

NPI number 1255707832 Active

Practice location

2000 Town Ctr, 1900
Southfield, MI 48075-1135

Mailing address

8326 Esper St
Detroit, MI 48204-3122

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XL749595 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1255707832

Larry Hathorne's National Provider Identifier is 1255707832, issued on Aug 18, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southfield, MI. The record was last updated on Aug 18, 2015.