Provider Demographics
NPI:1518676550
Name:HATTEN, DARION JEROME JR
Entity Type:Individual
Prefix:
First Name:DARION
Middle Name:JEROME
Last Name:HATTEN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 LINDYN LEE WAY
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-1576
Mailing Address - Country:US
Mailing Address - Phone:229-305-7006
Mailing Address - Fax:
Practice Address - Street 1:1036 LINDYN LEE WAY
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-1576
Practice Address - Country:US
Practice Address - Phone:229-305-7006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor