Individual provider · Type 1 NPI

Carly Jean Hathaway, MSW

Mental Health Counselor · Buffalo, NY

NPI number 1669021317 Active

Practice location

1131 Broadway St
Buffalo, NY 14212-1501

Fax (716) 896-7717

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1669021317

Carly Jean Hathaway, MSW's National Provider Identifier is 1669021317, issued on Sep 5, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Buffalo, NY. The record was last updated on Sep 5, 2019.