| Hathawaysycamores | |
|
625 Fair Oaks Ave #300 South Pasadena CA 91030-2630 | |
| (626) 395-7100 | |
| (626) 799-1441 |
| Full Name | Hathawaysycamores |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 625 Fair Oaks Ave, South Pasadena, California |
| Authorized Official Name and Position | Linda F Hall (FACILITATOR) |
| Authorized Official Contact | 6263957100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hathawaysycamores 625 Fair Oaks Ave Ste 300 South Pasadena CA 91030-2630 Ph: (626) 395-7100 | Hathawaysycamores 625 Fair Oaks Ave #300 South Pasadena CA 91030-2630 Ph: (626) 395-7100 |
| NPI Number | 1255464079 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255464079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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