Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor |
NPI | 1003120767 |
---|---|
Provider Name | Rachael L Hatch |
First Address | San Diego, CA 92116-2681 |
Second Address | Oceanside, CA 92056-4565 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2010 |
Last Update Date | 23/06/2014 |