Bryan Lee Hathaway is a Grants Pass, Oregon based counselor who is specialized as Professional Counselor. Active license number of Bryan Lee Hathaway is C3564 for Professional Counselor in Oregon. His current practice location is 1201 Ne 7th St Ste C, Grants Pass. Patients can book an appointment with him at 541-890-1965.
Bryan Lee Hathaway is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. He uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Bryan Lee Hathaway speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Bryan Lee Hathaway |
| Specialization: | Professional Counselor |
| Gender: | Male |
| Credentials: | MS, LPC |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1201 Ne 7th St Ste C, Grants Pass, Oregon, 97526 |
| Phone: | 541-890-1965 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1477850469 |
| NPI Enumeration Date: | 28 Feb, 2011 |
| NPI Last Update On: | 08 Aug, 2018 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bryan Lee Hathaway are as mentioned below.
| License Number | Specialization | State | Status | |
| C3564 | Professional Counselor | Oregon | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Bryan Lee Hathaway such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 500679509 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1201 Ne 7th St Ste C, Grants Pass, Oregon |
| Zip: | 97526-1451 |
| Phone Number: | 541-890-1965 |
Patients can reach Bryan Lee Hathaway at
1201 Ne 7th St Ste C, Grants Pass, Oregon or can
call to book an appointment on 541-890-1965.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.