BRYAN LEE HATHAWAY

GRANTS PASS, OR
NPI1477850469
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OR  C3564)
Enumeration Date2011-02-28
Last Update Date2018-08-08
Business Address
BRYAN LEE HATHAWAY MS, LPC
1201 NE 7TH ST STE C
GRANTS PASS, OR 97526
Phone number: 541-890-1965
Mailing Address
BRYAN LEE HATHAWAY MS, LPC
1201 NE 7TH ST STE C
GRANTS PASS, OR 97526-1451
Phone number: 541-890-1965