SUSAN E HATHER

LONGVIEW, WA
NPI1104171677
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CO60237147)
Enumeration Date2012-07-19
Last Update Date2012-07-19
Business Address
SUSAN E HATHER CDPT
1044 11TH AVE
LONGVIEW, WA 98632-2506
Phone number: 360-575-8275
Mailing Address
SUSAN E HATHER CDPT
PO BOX 2429
LONGVIEW, WA 98632-8486
Phone number: 360-575-8275