Individual provider · Type 1 NPI

Holly I. Hathaway, LCSW

Mental Health Counselor · Fort Carson, CO

NPI number 1730303074 Active

Practice location

1650 Cochrane Cir # B7500
Fort Carson, CO 80913-4613

Call (207) 615-2620 Map

Mailing address

160 Cochrane Circle B7500, Evans Army Community Hospital
Fort Carson, CO 80913

Other practice locations

  • 21 Saco St, Westbrook, ME 04092-2856 · (207) 591-4452

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XCSW29925611 (CO)
Mental Health Counselor Primary 101YM0800XLC5406 (ME)

Mental Health Counselor: Definition to come...

54 other providers at this address

About NPI 1730303074

Holly I. Hathaway, LCSW's National Provider Identifier is 1730303074, issued on Apr 11, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Carson, CO. The record was last updated on Jul 21, 2022.