SearchCalifornia101YM0800X

Taylor Hattersley, LCSW

NPI 1164910642 · on the registry since 2018 · sole proprietor

Practice

Address
775 Sunrise Ave Ste 110
Roseville, CA 95661
Phone
(916) 475-8788
Organisation at this address
Pathways Recovery
Pathways Recovery
Debra Moore, Ph.D.
Kathleen Van Wie Lcsw, Inc
Charter Professional Group Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
106S00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California